Family Pharmacy Of Mountain Grove Llc
LBN: Family Pharmacy Of Mountain Grove Llc
Family Pharmacy Of Mountain Grove Llc is an health care organization with primary practice located at 1600 N Main St , Mountain Grove MO 65711-1010. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty.
Family Pharmacy Of Mountain Grove Llc can be contacted via phone (417) 926-9655, or through Coffman, Christine Michelle via phone (417) 926-4156.
Contact Information
Primary practice address
1600 N Main St
Mountain Grove MO 65711-1010
Phone: (417) 926-9655
Fax: (417) 926-0045
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 200059684 | Missouri |
Profile Details
| NPI number | 1851426852 |
|---|---|
| LBN Legal business name | Family Pharmacy Of Mountain Grove Llc |
| DBA Doing business as | |
| Authorized official | Coffman, Christine Michelle |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 22nd, 2007 |
| Last updated | Jan 25th, 2024 - about 10 months 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 | 1851426852 | NPPES |
| Missouri | MEDICAID | 625201207 | |
| Missouri | MEDICAID | 605201201 |
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