Provider Demographics
NPI:1972181402
Name:FURMACY, INC
Entity Type:Organization
Organization Name:FURMACY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:GEOROGIA
Authorized Official - Middle Name:THORNE
Authorized Official - Last Name:JEREMIAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-467-0479
Mailing Address - Street 1:4944 WINDPLAY DR STE 265
Mailing Address - Street 2:
Mailing Address - City:EL DORADO HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:95762-9688
Mailing Address - Country:US
Mailing Address - Phone:946-467-0479
Mailing Address - Fax:
Practice Address - Street 1:4944 WINDPLAY DR STE 265
Practice Address - Street 2:
Practice Address - City:EL DORADO HILLS
Practice Address - State:CA
Practice Address - Zip Code:95762-9688
Practice Address - Country:US
Practice Address - Phone:946-467-0479
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-29
Last Update Date:2021-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy