Provider Demographics
NPI:1053777136
Name:FAMILY CARE INVESTMENTS LLC
Entity type:Organization
Organization Name:FAMILY CARE INVESTMENTS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MEMBER/PIC
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:M
Authorized Official - Last Name:DO
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D
Authorized Official - Phone:949-486-6790
Mailing Address - Street 1:1150 MAIN ST
Mailing Address - Street 2:SUITE D
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92614-6761
Mailing Address - Country:US
Mailing Address - Phone:949-486-6790
Mailing Address - Fax:858-810-0744
Practice Address - Street 1:1150 MAIN ST
Practice Address - Street 2:SUITE D
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92614-6761
Practice Address - Country:US
Practice Address - Phone:949-486-6790
Practice Address - Fax:858-810-0744
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-05
Last Update Date:2017-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPHY 539373336C0003X, 3336C0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPHY 53937OtherSTATE BOARD OF PHARMACY PERMIT