Provider Demographics
NPI:1417599119
Name:TU FAMILIA FARMACIA, LLC
Entity Type:Organization
Organization Name:TU FAMILIA FARMACIA, LLC
Other - Org Name:YOUR FAMILY RX
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:PEREZ
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D
Authorized Official - Phone:305-562-2519
Mailing Address - Street 1:10788 SW 24TH STREET
Mailing Address - Street 2:YOUR FAMILY RX
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33165
Mailing Address - Country:US
Mailing Address - Phone:786-899-0403
Mailing Address - Fax:844-270-6362
Practice Address - Street 1:10788 SW 24TH STREET
Practice Address - Street 2:YOUR FAMILY RX
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33165
Practice Address - Country:US
Practice Address - Phone:786-899-0403
Practice Address - Fax:844-270-6362
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-14
Last Update Date:2021-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy