Organization
FAMILIA CARE
Active
Other names
MD Kids Pediatrics Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSAN ELAINE BARTLEMAY RPH (MANAGER, PHARMACY OPERATIONS)
(972) 207-4922
Entity
Organization
Contact information
Practice address
3201 W SANER AVE, DALLAS, TX 75233-1430
(214) 331-0567
(214) 337-7779
Mailing address
222 LAS COLINAS BLVD W, SUITE 2000, IRVING, TX 75039-5421
(972) 957-3000
(972) 957-3000
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDINGT
—
TX
Enumeration date
10/29/2013
Last updated
10/29/2013
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