Organization
FAMILY PHARMACY INC
Active
Other names
Family Pharmacy #1
Organization subpart
No
Provider details
NPI number
Authorized official
LYNN A MORRIS (OWNER)
(417) 581-4335
Entity
Organization
Contact information
Practice address
1156 W JACKSON ST, OZARK, MO 65721-9164
(417) 581-4335
(417) 581-5660
Mailing address
PO BOX 949, OZARK, MO 65721-0949
(417) 581-4335
(417) 581-5660
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
3475
MO
333600000X
Pharmacy
Primary
3475
MO
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000009143
MEDICARE- B FLU
MO
01
—
2615156
NCPDP
MO
05
—
600058010
—
MO
01
—
6200058016
MEDICAID DME
MO
05
—
620058016
—
MO
01
—
870023502
RAILROAD MEDICARE
MO
Enumeration date
02/08/2006
Last updated
04/12/2017
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