Family Pharmacy #25
LBN: Family Pharmacy Inc.
Family Pharmacy #25 is an health care organization with primary practice located at 916 N.W. 12Th Ave Suite F, Ava MO 65608. The organization recently has 6 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Long Term Care Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Family Pharmacy Inc. can be contacted via phone (417) 683-1760, or through Tennis, Carrie via phone (417) 581-4335.
Contact Information
Primary practice address
916 N.W. 12Th Ave Suite F
Ava MO 65608
Phone: (417) 683-1760
Fax: (417) 683-1768
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 2010031165 | Missouri |
| Suppliers / Compounding Pharmacy | 3336C0004X | ||
| Suppliers / Long Term Care Pharmacy | 3336L0003X | ||
| Suppliers / Specialty Pharmacy | 3336S0011X |
Profile Details
| NPI number | 1013224047 |
|---|---|
| LBN Legal business name | Family Pharmacy Inc. |
| DBA Doing business as | Family Pharmacy #25 |
| Authorized official | Tennis, Carrie |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 13th, 2010 |
| Last updated | Jan 24th, 2014 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013224047 | NPPES |
| Missouri | MEDICAID | 1013224047 | |
| Missouri | Other | 2639257 |
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