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NPI Code Detail

MEDICARE: FAMILIA CARE

MEDICARE: FAMILIA CARE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13336C0002XClinic PharmacyTX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1013345156
Entity Type Code : Organization
Provider Name (Legal Business Name) : FAMILIA CARE
Provider Business Mailing Address
First Line : 222 LAS COLINAS BLVD W
Second Line : SUITE 2000
City : IRVING
State : TX
Zip : 75039-5421
Country : US
Telephone Number : 972-957-3000
Fax Number : 972-957-3000
Provider Business Practice Location Address
First Line : 3201 W SANER AVE
Second Line :
City : DALLAS
State : TX
Zip : 75233-1430
Country : US
Telephone Number : 214-331-0567
Fax Number : 214-337-7779
Authorized Official
Title or Position : MANAGER, PHARMACY OPERATIONS
Name : MS. SUSAN ELAINE BARTLEMAY
Credential : RPH
Telephone Number : 972-207-4922
Provider Enumeration Date : 10/29/2013
Last Update Date : 10/29/2013

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Directions to “FAMILIA CARE ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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