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Organization
FAMILY PHARMACY OF MISSOURI LLC
Active
Organization
FAMILY PHARMACY OF MISSOURI LLC
Active
Other names
Family Pharmacy #5
Organization subpart
No
Provider details
NPI number
Authorized official
LYNN A MORRIS R.PH. (OWNER/PRESIDENT)
(417) 581-4335
Entity
Organization
Contact information
Practice address
432 S MILL ST, ROGERSVILLE, MO 65742-7601
(417) 753-2046
(417) 753-2047
Mailing address
PO BOX 515, ROGERSVILLE, MO 65742-0515
(417) 753-2046
(417) 753-2047
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
5819
MO
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2629713
NCPDP
—
05
—
600058051
—
MO
01
—
620058057
MEDICAID DME
MO
Enumeration date
02/22/2006
Last updated
04/06/2017
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