Organization
FAMILIA CARE INC.
Active
Organization
FAMILIA CARE INC.
Active
Other names
Mi Doctor Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT BOATRIGHT (PIC)
(214) 840-0406
Entity
Organization
Contact information
Practice address
655 W. ILLINOIS AVENUE, BUILDING 900, SUITE 916/918,, DALLAS, TX 75224
(214) 845-4000
(214) 942-1857
Mailing address
300 E JOHN CARPENTER FWY, IRVING, TX 75062-2727
(972) 957-3000
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
27632
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5904328
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
11/10/2011
Last updated
11/10/2011
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