Organization
FAMILY PHARMACY INC
Active
Other names
FAMILY PHARMACY SPECIALTY SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
CARRIE TENNIS (DIRECTOR OF OPERATIONS)
(417) 551-0324
Entity
Organization
Contact information
Practice address
1152 W JACKSON ST, OZARK, MO 65721-9164
(417) 551-0374
(417) 581-9263
Mailing address
PO BOX 949, OZARK, MO 65721-0949
(417) 551-0324
(417) 268-9040
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
2014016571
MO
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2159162
PK
—
Enumeration date
04/01/2016
Last updated
04/01/2016
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