Healthcare Provider Details

I. General information

NPI: 1609606839
Provider Name (Legal Business Name): MY FAMILY PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/02/2024
Last Update Date: 08/02/2024
Certification Date: 08/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1809 MOUNT HOLLY RD
BURLINGTON TOWNSHIP NJ
08016-4702
US

IV. Provider business mailing address

1809 MOUNT HOLLY RD
BURLINGTON TOWNSHIP NJ
08016-4702
US

V. Phone/Fax

Practice location:
  • Phone: 856-282-2005
  • Fax: 856-203-6165
Mailing address:
  • Phone: 856-282-2005
  • Fax: 856-203-6165

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: JIGNESHGIRI A GOSAI
Title or Position: PIC
Credential:
Phone: 856-282-2005