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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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