Organization
FAMILY PHARMACY LLC
Active
Other names
Family Pharmacy LLC
Organization subpart
No
Provider details
NPI number
Authorized official
FATHY ELSAFTY (CEO/DIRECTOR)
(832) 293-4523
Entity
Organization
Contact information
Practice address
31952 DEL OBISPO ST, UNIT 240, SAN JUAN CAPISTRANO, CA 92675-3124
(949) 388-9784
(949) 388-9785
Mailing address
31952 DEL OBISPO ST, SAN JUAN CAPISTRANO, CA 92675-3124
(949) 388-9784
(949) 388-9785
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY55277
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2155400
PK
—
Enumeration date
11/11/2015
Last updated
07/19/2018
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