Healthcare Provider Details

I. General information

NPI: 1366930059
Provider Name (Legal Business Name): FAMILY CARE RX, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/27/2018
Last Update Date: 09/04/2025
Certification Date: 09/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6428 MELALEUCA LN
GREENACRES FL
33463
US

IV. Provider business mailing address

6428 MELALEUCA LN
GREENACRES FL
33463-3807
US

V. Phone/Fax

Practice location:
  • Phone: 561-432-2273
  • Fax: 561-318-8577
Mailing address:
  • Phone: 561-432-2273
  • Fax: 561-318-8577

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License NumberPH25901
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: CHRISTOPHER LEON
Title or Position: OWNER
Credential:
Phone: 610-657-1030