| Physician Family Pharmacy Corp | |
|
5869 Lake Worth Rd Greenacres FL 33463-3209 | |
| (561) 501-1874 | |
| Not Available |
| Full Name | Physician Family Pharmacy Corp |
|---|---|
| Speciality | Clinic/center |
| Location | 5869 Lake Worth Rd, Greenacres, Florida |
| Authorized Official Name and Position | Angelita Nicolas (OWNER) |
| Authorized Official Contact | 5615011874 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Physician Family Pharmacy Corp 5869 Lake Worth Rd Greenacres FL 33463-3209 Ph: (561) 501-1874 | Physician Family Pharmacy Corp 5869 Lake Worth Rd Greenacres FL 33463-3209 Ph: (561) 501-1874 |
| NPI Number | 1063986248 |
|---|---|
| Provider Enumeration Date | 01/21/2019 |
| Last Update Date | 01/21/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063986248 | NPI | - | NPPES |
| 1235655069 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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