Family Pharmacy #28

LBN: Family Pharmacy Of Missouri Llc
Family Pharmacy #28 is an health care organization with primary practice located at 1494 State Highway 248 Ste D , Branson MO 65616-8160. The organization recently has 7 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 / Managed Care Organization 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) 334-8117, or through Tennis, Carrie via phone (417) 581-4335.

Contact Information

Primary practice address
1494 State Highway 248 Ste D Branson MO 65616-8160
Phone: (417) 334-8117
Fax: (417) 334-8150
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 2011029958 Missouri
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Long Term Care Pharmacy 3336L0003X
Suppliers / Managed Care Organization Pharmacy 3336M0003X
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1871875807
LBN Legal business name Family Pharmacy Of Missouri Llc
DBA Doing business as Family Pharmacy #28
Authorized official Tennis, Carrie
Entity Organization
Organization subpart 1 No
Enumeration date Sep 15th, 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 1871875807 NPPES
Missouri MEDICAID 1871875807
Missouri Other 2639839

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