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FAMILIA CARE NPI 1013345156


NPI Information

NPI: 1013345156
Provider Name: FAMILIA CARE

Doing Business As: MD KIDS PEDIATRICS PHARMACY

Classification: Pharmacy - 3336C0002X
Entity Type: Organization

Specialization: Clinic Pharmacy

CLIA Number: 45D0922046

Address:
3201 W SANER AVE
DALLAS, TX
ZIP 75233
Phone: (214) 331-0567
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FAMILIA CARE is a clinic pharmacy pharmacy in Dallas, TX. The provider is a pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. FAMILIA CARE NPI is 1013345156. The provider is registered as an organization entity type.
The provider Is Doing Business As Md Kids Pediatrics Pharmacy.

The provider's business location address is:

3201 W SANER AVE
DALLAS, TX
ZIP 75233-430
Phone: (214) 331-0567
Fax: (214) 337-7779

The provider's authorized official is Susan Elaine Bartlemay .
The authorized official title is Manager, Pharmacy Operations and has the following contact phone number (972) 207-4922.

The CLIA number assigned to this NPI record is 45D0922046 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 10/29/2013 and was last updated on 10/29/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336C0002XPharmacyClinic PharmacyTEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1PENDINGTMEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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