Provider Demographics
NPI:1376976464
Name:FAMILY CHOICE PHARMACY
Entity Type:Organization
Organization Name:FAMILY CHOICE PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:MR
Authorized Official - First Name:ALOYSIUS
Authorized Official - Middle Name:I
Authorized Official - Last Name:OKEI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-475-8420
Mailing Address - Street 1:15603 ATLANTIS DR
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20716-3867
Mailing Address - Country:US
Mailing Address - Phone:301-577-1212
Mailing Address - Fax:301-577-1099
Practice Address - Street 1:8313 ANNAPOLIS RD
Practice Address - Street 2:
Practice Address - City:NEW CARROLLTON
Practice Address - State:MD
Practice Address - Zip Code:20784-3001
Practice Address - Country:US
Practice Address - Phone:301-577-1212
Practice Address - Fax:301-577-1099
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-13
Last Update Date:2014-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDP06072183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty