Organization
CHILLICOTHE FAMILY PHARMACY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT A CADY PHARMD (PIC/ CO-OWNER)
(660) 240-0828
Entity
Organization
Contact information
Practice address
504 S WASHINGTON ST, CHILLICOTHE, MO 64601-3038
(660) 240-0828
(660) 070-0019
Mailing address
504 S WASHINGTON ST, CHILLICOTHE, MO 64601-3038
(660) 240-0828
(660) 070-0019
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
2015012618
MO
3336C0003X
Community/Retail Pharmacy
Primary
2015012618
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
600021831
—
MO
Enumeration date
01/20/2015
Last updated
05/14/2019
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