Provider Demographics
NPI:1578741914
Name:FAMILY HEALTH PHARMACY INC
Entity Type:Organization
Organization Name:FAMILY HEALTH PHARMACY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LEMUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:BOYETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-698-9770
Mailing Address - Street 1:PO BOX 505
Mailing Address - Street 2:
Mailing Address - City:SULLIGENT
Mailing Address - State:AL
Mailing Address - Zip Code:35586-0505
Mailing Address - Country:US
Mailing Address - Phone:205-698-9770
Mailing Address - Fax:205-698-8522
Practice Address - Street 1:55298 HWY 17
Practice Address - Street 2:
Practice Address - City:SULLIGENT
Practice Address - State:AL
Practice Address - Zip Code:35586-0505
Practice Address - Country:US
Practice Address - Phone:205-698-9770
Practice Address - Fax:205-698-8522
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FAMILY HEALTH PHARMACY INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-02-07
Last Update Date:2008-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
0388690001Medicare NSC