Family Pharmacy #20

LBN: Family Pharmacy Of Missouri Llc
Family Pharmacy #20 is an health care organization with primary practice located at 1326 W Broadway St , Bolivar MO 65613-1815. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Family Pharmacy Of Missouri Llc can be contacted via phone (417) 326-8747, or through Morris, Lynn via phone (417) 581-4335.

Contact Information

Primary practice address
1326 W Broadway St Bolivar MO 65613-1815
Phone: (417) 326-8747
Fax: (417) 326-8748
Website:
Map and Directions
Authorized official contact:
Name: Morris, Lynn RPH MS
Phone: (417) 581-4335

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Community/Retail Pharmacy 3336C0003X 2006014908 Missouri
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1033217062
LBN Legal business name Family Pharmacy Of Missouri Llc
DBA Doing business as Family Pharmacy #20
Authorized official Morris, Lynn RPH MS
Entity Organization
Organization subpart 1 No
Enumeration date Sep 21st, 2006
Last updated Mar 14th, 2012 - about 12 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 1033217062 NPPES
Other 2636934 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID 606261105 OTHER ID NUMBER-COMMERCIAL NUMBER

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