Organization
FAMILY PHARMACY INC
Active
Organization
FAMILY PHARMACY INC
Active
Other names
Family Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
LIZA EKOLE (PRESIDENT)
(313) 268-0953
Entity
Organization
Contact information
Practice address
21225 KELLY RD, STE. #1, EASTPOINTE, MI 48021-3100
(586) 778-8612
(586) 778-8615
Mailing address
21225 KELLY RD, STE. #1, EASTPOINTE, MI 48021-3100
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301009110
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2372516
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
03/11/2009
Last updated
06/12/2009
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