Family Care Pharmacy, Inc.

Contacts

Phone	+1 334-298-2577
Fax	3342910190

Authorized person

Name	MR. EARL GLENN SMITH
Role	PHARMACIST/OWNER
Phone	3342982577

Taxonomy

Taxonomy Code	332B00000X - Durable Medical Equipment & Medical Supplies
License Number	104605
State	AL
Is Primary	Yes

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2003-09-01
Business code	446110
Sponsor’s telephone number	3342973477
Plan sponsor’s address	4464 SANDFORD ROAD, SEALE, AL, 36875

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2003-09-01
Business code	446110
Sponsor’s telephone number	3342973477
Plan sponsor’s address	4464 SANDFORD ROAD, SEALE, AL, 36875

Three-digit plan number (PN)	001
Effective date of plan	2003-09-01
Business code	446110
Sponsor’s telephone number	3342973477
Plan sponsor’s address	4464 SANDFORD ROAD, SEALE, AL, 36875

Signature of

Role	Employer/plan sponsor
Date	2014-04-10
Name of individual signing	DIANE HEBERT

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2003-09-01
Business code	446110
Sponsor’s telephone number	3342973477
Plan sponsor’s address	4464 SANDFORD ROAD, SEALE, AL, 36875

Signature of

Role	Plan administrator
Date	2014-04-11
Name of individual signing	DIANE HEBERT

Three-digit plan number (PN)	001
Effective date of plan	2003-09-01
Business code	446110
Sponsor’s telephone number	3342973477
Plan sponsor’s address	4464 SANDFORD ROAD, SEALE, AL, 36875

Signature of

Role	Employer/plan sponsor
Date	2014-04-11
Name of individual signing	DIANE HEBERT