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Organization
FAMILY PHARMACY INC
Active
Organization
FAMILY PHARMACY INC
Active
Other names
FAMILY PHARMACY SPECIALTY SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
CARRIE TENNIS (DIRECTOR OF OPERATIONS)
(417) 551-0324
Entity
Organization
Contact information
Practice address
1152 W JACKSON ST, OZARK, MO 65721-9164
(417) 551-0374
(417) 581-9263
Mailing address
PO BOX 949, OZARK, MO 65721-0949
(417) 551-0324
(417) 268-9040
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
2014016571
MO
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2159162
PK
—
Enumeration date
04/01/2016
Last updated
04/01/2016
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