Family Pharmacy #27

LBN: Family Pharmacy Of Missouri Llc
Family Pharmacy #27 is an health care organization with primary practice located at 6809 State Highway 14 W Ste F , Clever MO 65631-6799. 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 Of Missouri Llc can be contacted via phone (417) 583-2595, or through Tennis, Carrie via phone (417) 581-4335.

Contact Information

Primary practice address
6809 State Highway 14 W Ste F Clever MO 65631-6799
Phone: (417) 583-2595
Fax: (417) 583-2097
Website:
Map and Directions
Authorized official contact:
Name: Tennis, Carrie
Phone: (417) 581-4335

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 2011001788 Missouri
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Long Term Care Pharmacy 3336L0003X
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1518263110
LBN Legal business name Family Pharmacy Of Missouri Llc
DBA Doing business as Family Pharmacy #27
Authorized official Tennis, Carrie
Entity Organization
Organization subpart 1 No
Enumeration date Jan 31st, 2011
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518263110 NPPES
Missouri MEDICAID 1518263110
Missouri Other 2639598

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