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Organization
FAMILY PHARMACY OF MISSOURI LLC
Active
Organization
FAMILY PHARMACY OF MISSOURI LLC
Active
Other names
Family Pharmacy #4
Organization subpart
No
Provider details
NPI number
Authorized official
LYNN A MORRIS R.PH. (OWNER)
(417) 581-4335
Entity
Organization
Contact information
Practice address
18192 BUSINESS 13 STE A, BRANSON WEST, MO 65737-8637
(417) 272-8966
(417) 272-8969
Mailing address
PO BOX 2403, BRANSON WEST, MO 65737-2403
(417) 272-8966
(417) 272-8969
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
4079
MO
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2617302
NCPDP
MO
05
—
600058036
—
MO
01
—
620058032
MEDICAID DME
MO
05
—
620058032
—
MO
Enumeration date
02/20/2006
Last updated
04/06/2017
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