Family Pharmacy #16

LBN: Family Pharmacy Of Missouri Llc
Family Pharmacy #16 is an health care organization with primary practice located at 49 E Old Mill Rd , Fair Grove MO 65648-8452. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Family Pharmacy Of Missouri Llc can be contacted via phone (417) 759-6300, or through Morris, Lynn A via phone (417) 759-6300.

Contact Information

Primary practice address
49 E Old Mill Rd Fair Grove MO 65648-8452
Phone: (417) 759-6300
Fax: (417) 759-6305
Website:
Map and Directions
Authorized official contact:
Name: Morris, Lynn A R.PH.
Phone: (417) 759-6300

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X 2004031235 Missouri
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1881669208
LBN Legal business name Family Pharmacy Of Missouri Llc
DBA Doing business as Family Pharmacy #16
Authorized official Morris, Lynn A R.PH.
Entity Organization
Organization subpart 1 No
Enumeration date Feb 20th, 2006
Last updated Apr 6th, 2017 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881669208 NPPES
Missouri Other 626166607 MEDICAID DME
Missouri MEDICAID 606166601 MEDICAID DME
Missouri Other 2635766 MEDICAID DME
Missouri MEDICAID 626166607 MEDICAID DME

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