Provider Demographics
NPI:1598240236
Name:MY FAMILY PHARMACY INC
Entity Type:Organization
Organization Name:MY FAMILY PHARMACY INC
Other - Org Name:MY FAMILY PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACY MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JIGNESHGIRI
Authorized Official - Middle Name:A
Authorized Official - Last Name:GOSAI
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:856-282-2005
Mailing Address - Street 1:2005 MOUNT HOLLY RD STE 107
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON TOWNSHIP
Mailing Address - State:NJ
Mailing Address - Zip Code:08016-4705
Mailing Address - Country:US
Mailing Address - Phone:856-282-2005
Mailing Address - Fax:856-203-6165
Practice Address - Street 1:2005 MOUNT HOLLY RD STE 107
Practice Address - Street 2:
Practice Address - City:BURLINGTON TOWNSHIP
Practice Address - State:NJ
Practice Address - Zip Code:08016-4705
Practice Address - Country:US
Practice Address - Phone:856-282-2005
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-28
Last Update Date:2018-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy