Organization
FAMILY PHARMACY OF MISSOURI LLC
Active
Other names
Family Pharmacy #3
Organization subpart
No
Provider details
NPI number
Authorized official
LYNN A MORRIS R.PH (OWNER)
(417) 581-4335
Entity
Organization
Contact information
Practice address
924 W MT VERNON, NIXA, MO 65714
(417) 725-2624
(417) 725-2625
Mailing address
PO BOX 1440, NIXA, MO 65714-1440
(417) 725-2624
(417) 725-2625
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
3679
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2616653
NCPDP
MO
05
—
600058028
—
MO
01
—
626189609
MEDICAID DME
MO
05
—
626189609
—
MO
Enumeration date
02/22/2006
Last updated
03/06/2008
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