Provider Demographics
NPI:1679111074
Name:FAMILY PHARMACY INC
Entity Type:Organization
Organization Name:FAMILY PHARMACY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST IN CHARGE
Authorized Official - Prefix:
Authorized Official - First Name:LOUY
Authorized Official - Middle Name:M
Authorized Official - Last Name:AL ATTEELI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-800-3336
Mailing Address - Street 1:6720 N 61ST AVE
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85301-3109
Mailing Address - Country:US
Mailing Address - Phone:602-800-3336
Mailing Address - Fax:
Practice Address - Street 1:10503 W THUNDERBIRD BLVD STE 101B
Practice Address - Street 2:
Practice Address - City:SUN CITY
Practice Address - State:AZ
Practice Address - Zip Code:85351-2719
Practice Address - Country:US
Practice Address - Phone:623-974-3555
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-16
Last Update Date:2019-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy