Family Pharmacy #3

LBN: Family Pharmacy Of Missouri Llc
Family Pharmacy #3 is an health care organization with primary practice located at 924 W Mt Vernon , Nixa MO 65714. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Family Pharmacy Of Missouri Llc can be contacted via phone (417) 725-2624, or through Morris, Lynn A via phone (417) 581-4335.

Contact Information

Primary practice address
924 W Mt Vernon Nixa MO 65714
Phone: (417) 725-2624
Fax: (417) 725-2625
Website:
Map and Directions
Authorized official contact:
Name: Morris, Lynn A R.PH
Phone: (417) 581-4335

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X 3679 Missouri

Profile Details

NPI number 1366417214
LBN Legal business name Family Pharmacy Of Missouri Llc
DBA Doing business as Family Pharmacy #3
Authorized official Morris, Lynn A R.PH
Entity Organization
Organization subpart 1 No
Enumeration date Feb 22nd, 2006
Last updated Mar 6th, 2008 - about 16 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 1366417214 NPPES
Missouri Other 626189609 MEDICAID DME
Missouri MEDICAID 626189609 MEDICAID DME
Missouri Other 2616653 MEDICAID DME
Missouri MEDICAID 600058028 MEDICAID DME

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