Provider Demographics
NPI:1619391315
Name:TRUE CARE FAMILY PHARMACY, INC.
Entity Type:Organization
Organization Name:TRUE CARE FAMILY PHARMACY, INC.
Other - Org Name:TRUE CARE FAMILY PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MORRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:DAYAN
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:818-878-3227
Mailing Address - Street 1:22030 SHERMAN WAY STE 100
Mailing Address - Street 2:
Mailing Address - City:CANOGA PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91303-1897
Mailing Address - Country:US
Mailing Address - Phone:818-878-3227
Mailing Address - Fax:818-884-8083
Practice Address - Street 1:22030 SHERMAN WAY STE 100
Practice Address - Street 2:
Practice Address - City:CANOGA PARK
Practice Address - State:CA
Practice Address - Zip Code:91303-1897
Practice Address - Country:US
Practice Address - Phone:818-878-3227
Practice Address - Fax:818-884-8083
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-15
Last Update Date:2016-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPHY 541653336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPHY 54165OtherSTATE BOARD OF PHARMACY
CA56-52056OtherNCPDP PROVIDER