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Organization

FAMILY CARE PHARMACY, INC

Active
Other names
Family Care Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
DANIEL FIEKER RPH (OWNER)
(618) 654-2323
Entity
Organization

Contact information

Practice address
1108 BROADWAY, HIGHLAND, IL 62249
(618) 882-5028
(618) 882-5049
Mailing address
1108 BROADWAY, HIGHLAND, IL 62249-1917
(618) 654-2323
(618) 654-5454

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
054002142
IL
3336L0003X
Long Term Care Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2022464
PK
Enumeration date
10/07/2006
Last updated
06/17/2019
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