Provider Demographics
NPI:1528088978
Name:OUR FAMILY PHARMACY, INC.
Entity type:Organization
Organization Name:OUR FAMILY PHARMACY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SIGGIE
Authorized Official - Middle Name:
Authorized Official - Last Name:BREA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-235-6333
Mailing Address - Street 1:9730 SW 184 STREET
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33157
Mailing Address - Country:US
Mailing Address - Phone:305-235-6333
Mailing Address - Fax:305-235-6376
Practice Address - Street 1:9730 SW 184 STREET
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33157
Practice Address - Country:US
Practice Address - Phone:305-235-6333
Practice Address - Fax:305-235-6376
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-20
Last Update Date:2008-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPH219953336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL5718010001Medicare NSC