Organization
FAMAK ENTERPRISES INC
Active
Other names
Mayfield Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MONICA FASANMI (PHARMACIST)
(817) 795-8884
Entity
Organization
Contact information
Practice address
1915 E MAYFIELD RD, SUITE 109, ARLINGTON, TX 76014-2604
(817) 795-8884
(817) 795-8887
Mailing address
1915 E MAYFIELD RD, SUITE 109, ARLINGTON, TX 76014-2604
(817) 795-8884
(817) 795-8887
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
27609
TX
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
148506
—
TX
01
—
2131646
PK
—
Enumeration date
09/13/2011
Last updated
01/18/2017
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