Provider Demographics
NPI:1366463325
Name:PHARMED LP
Entity Type:Organization
Organization Name:PHARMED LP
Other - Org Name:FAMILY CARE PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:GENERAL PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:SAEID
Authorized Official - Middle Name:
Authorized Official - Last Name:DAVANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-248-3232
Mailing Address - Street 1:PO BOX 260329
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75026-0329
Mailing Address - Country:US
Mailing Address - Phone:214-357-3303
Mailing Address - Fax:972-248-3234
Practice Address - Street 1:9991 MARSH LN
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75220-1766
Practice Address - Country:US
Practice Address - Phone:214-357-3303
Practice Address - Fax:214-358-0760
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-22
Last Update Date:2012-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX159473336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
4591524OtherNCPDP PROVIDER IDENTIFICATION NUMBER
TX144084Medicaid