Provider Demographics
NPI:1619125465
Name:FCRX INC
Entity Type:Organization
Organization Name:FCRX INC
Other - Org Name:FAMILY CARE SPECIALTY PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SANJAY
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-451-5051
Mailing Address - Street 1:9740B UNIVERSITY CITY BLVD
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28213-3608
Mailing Address - Country:US
Mailing Address - Phone:704-451-5051
Mailing Address - Fax:704-510-4311
Practice Address - Street 1:3620 PROVIDENCE ROAD
Practice Address - Street 2:STE 100
Practice Address - City:WAXHAW
Practice Address - State:NC
Practice Address - Zip Code:28173
Practice Address - Country:US
Practice Address - Phone:704-451-5051
Practice Address - Fax:704-510-4311
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-05
Last Update Date:2010-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC101783336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
3412272OtherNCPDP PROVIDER IDENTIFICATION NUMBER