Organization
FAMILY PHARMACY CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TOMAS RUIZ (PRESIDENT)
(305) 971-2374
Entity
Organization
Contact information
Practice address
9841 SW 184TH ST, MIAMI, FL 33157-6934
(305) 971-2374
Mailing address
9841 SW 184TH ST, MIAMI, FL 33157-6934
(305) 971-2374
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH20982
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PH209892
PHARMACY LICENSE
FL
Enumeration date
05/15/2006
Last updated
08/22/2020
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