Organization
PHARMED LP
Active
Other names
FAMILY CARE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
SAEID DAVANI (GENERAL MGR)
(972) 596-6690
Entity
Organization
Contact information
Practice address
1200 WOODHAVEN BLVD, FT WORTH, TX 76112-2376
(817) 507-0162
(817) 507-0163
Mailing address
PO BOX 260329, PLANO, TX 75026-0329
(817) 507-0162
(972) 248-3234
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
22345
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145236
—
TX
01
—
4525854
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
07/30/2006
Last updated
09/08/2011
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