Provider Demographics
NPI:1881249548
Name:FAMILY PHARMACY LLC
Entity type:Organization
Organization Name:FAMILY PHARMACY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER AND PHARMACIST IN CHARGE.
Authorized Official - Prefix:
Authorized Official - First Name:MILLAD
Authorized Official - Middle Name:
Authorized Official - Last Name:AYYAD
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:407-853-4010
Mailing Address - Street 1:1436 STATE ROAD 436 STE 1008
Mailing Address - Street 2:
Mailing Address - City:CASSELBERRY
Mailing Address - State:FL
Mailing Address - Zip Code:32707-6572
Mailing Address - Country:US
Mailing Address - Phone:407-853-4010
Mailing Address - Fax:407-853-4017
Practice Address - Street 1:1436 STATE ROAD 436 STE 1008
Practice Address - Street 2:
Practice Address - City:CASSELBERRY
Practice Address - State:FL
Practice Address - Zip Code:32707-6572
Practice Address - Country:US
Practice Address - Phone:407-853-4010
Practice Address - Fax:407-853-4017
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-08
Last Update Date:2020-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy