Provider Demographics
NPI:1891174389
Name:FAMILY CARE PHARMA INC.
Entity Type:Organization
Organization Name:FAMILY CARE PHARMA INC.
Other - Org Name:FAMILY CARE DRUGS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HILTON
Authorized Official - Middle Name:
Authorized Official - Last Name:CHEUNG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-886-9136
Mailing Address - Street 1:13618 39TH AVE
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11354-5400
Mailing Address - Country:US
Mailing Address - Phone:718-886-9136
Mailing Address - Fax:718-886-9135
Practice Address - Street 1:13618 39TH AVE
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11354-5400
Practice Address - Country:US
Practice Address - Phone:718-886-9136
Practice Address - Fax:718-886-9135
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-29
Last Update Date:2017-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY7553580001Medicare NSC