Organization
FAMILY PHARMACY INC
Active
Other names
Family Pharmacy #11
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
4728 S CAMPBELL AVE STE 132, SPRINGFIELD, MO 65810-1715
(417) 823-7878
(417) 823-7887
Mailing address
4728 S CAMPBELL AVE STE 132, SPRINGFIELD, MO 65810-1715
(417) 823-7878
(417) 823-7887
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
2002026762
MO
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2634788
NCPDP
MO
05
—
605943406
—
MO
01
—
625943402
MEDICAID DME
MO
Enumeration date
02/20/2006
Last updated
04/06/2017
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