Organization
FAMILY FIRST PHARMACY LP
Active
Other names
FAMILY FIRST PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH MASON (OWNER)
(903) 561-2822
Entity
Organization
Contact information
Practice address
16623 OLD JACKSONVILLE HWY, STE A, TYLER, TX 75703
(903) 561-2822
(903) 561-3292
Mailing address
16623 OLD JACKSONVILLE HWY, STE A, TYLER, TX 75703
(903) 561-2822
(903) 561-3292
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
25213
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145719
—
TX
01
—
2099583
PK
—
Enumeration date
10/31/2006
Last updated
10/07/2014
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