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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033217062 | NPPES |
| Other | 2636934 | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| MEDICAID | 606261105 | OTHER ID NUMBER-COMMERCIAL NUMBER |
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