Healthcare Provider Details

I. General information

NPI: 1538138490
Provider Name (Legal Business Name): FAMILY PHARMACY, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/14/2006
Last Update Date: 10/24/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

960 ROSS ST
HEFLIN AL
36264-1164
US

IV. Provider business mailing address

610 QUINTARD DR
OXFORD AL
36203
US

V. Phone/Fax

Practice location:
  • Phone: 256-463-2188
  • Fax: 256-463-2377
Mailing address:
  • Phone: 256-831-6116
  • Fax: 866-928-5017

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: CHRISTOPHER MARTIN
Title or Position: OWNER/PRESIDENT
Credential:
Phone: 256-831-6116