MEDICARE: FAMILY PHARMACY, INC

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
1	333600000X	Pharmacy	0201004604	VA

General Provider Information

NPI Number	:	1861895575
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FAMILY PHARMACY, INC

Provider Business Mailing Address
First Line	:	10132 COLVIN RUN RD STE D
Second Line	:
City	:	GREAT FALLS
State	:	VA
Zip	:	22066-1840
Country	:	US
Telephone Number	:	703-762-6220
Fax Number	:	571-316-1525

Provider Business Practice Location Address
First Line	:	3612 FOREST DR
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22302-1005
Country	:	US
Telephone Number	:	703-762-6220
Fax Number	:	571-316-1525

Authorized Official
Title or Position	:	CEO
Name	:	DR. KAREEM M HAMDY
Credential	:	RPH
Telephone Number	:	703-762-6220

Provider Enumeration Date	:	10/08/2014
Last Update Date	:	10/08/2014

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Directions to “FAMILY PHARMACY, INC ” Practice Location

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