Provider Demographics
NPI:1225465024
Name:LA FAMILIA PHARMACY INC.
Entity Type:Organization
Organization Name:LA FAMILIA PHARMACY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ENGIN
Authorized Official - Middle Name:
Authorized Official - Last Name:CELIK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-939-1490
Mailing Address - Street 1:2945 N 5TH ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19133-2802
Mailing Address - Country:US
Mailing Address - Phone:215-425-4303
Mailing Address - Fax:215-425-4306
Practice Address - Street 1:2945 N 5TH ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19133-2802
Practice Address - Country:US
Practice Address - Phone:215-425-4303
Practice Address - Fax:215-425-4306
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-11
Last Update Date:2013-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy