# FAMILY PHARMACY OF STRAFFORD INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Family Pharmacy \#2
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588639991
- **Authorized official:** LYNN A MORRIS R.PH (PRESIDENT/CEO)
- **Authorized official phone:** (417) 581-4335

## Contact information

- **Practice address:** 307 E OLD ROUTE 66, STRAFFORD, MO 65757-7801
- **Practice address phone:** (417) 736-2698
- **Practice address fax:** (417) 736-2667
- **Mailing address:** PO BOX 949, OZARK, MO 65721-0949
- **Mailing address phone:** (417) 736-2698
- **Mailing address fax:** (417) 736-2667

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | — | — |
| 333600000X | Pharmacy | 4894 | MO | Yes |
| 3336L0003X | Long Term Care Pharmacy | — | — | — |

## Other

- **Enumeration date:** 02/20/2006
- **Last updated:** 04/12/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2615978 | NCPDP | MO |
| 05 | — | 600058002 | — | MO |
| 01 | — | 620058008 | MEDICAID DME | MO |