# FRONTIER PHARMACY LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861904336
- **Authorized official:** MR. JOHN ROSS RAY (CEO)
- **Authorized official phone:** (417) 496-5958

## Contact information

- **Practice address:** 850 N 25TH ST, OZARK, MO 65721-8033
- **Practice address phone:** (417) 581-1234
- **Practice address fax:** (417) 581-1234
- **Mailing address:** 850 N 25TH ST, OZARK, MO 65721-8033
- **Mailing address phone:** (417) 581-1234
- **Mailing address fax:** (888) 844-7031

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1835P0018X | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | — | NULL | Yes |
| 1835P0018X | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | — | — | Yes |

## Other

- **Enumeration date:** 10/24/2017
- **Last updated:** 10/24/2017