Provider Demographics
NPI:1770002123
Name:FAMILY CARE PHARMACY & MEDICAL SUPPLY, INC.
Entity Type:Organization
Organization Name:FAMILY CARE PHARMACY & MEDICAL SUPPLY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MILANA
Authorized Official - Middle Name:
Authorized Official - Last Name:MULGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-653-6061
Mailing Address - Street 1:1116 REISTERSTOWN RD
Mailing Address - Street 2:
Mailing Address - City:PIKESVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21208-4153
Mailing Address - Country:US
Mailing Address - Phone:410-653-6061
Mailing Address - Fax:410-653-6068
Practice Address - Street 1:1116 REISTERSTOWN RD
Practice Address - Street 2:
Practice Address - City:PIKESVILLE
Practice Address - State:MD
Practice Address - Zip Code:21208-4153
Practice Address - Country:US
Practice Address - Phone:410-653-6061
Practice Address - Fax:410-653-6068
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-18
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy