Organization
FAMILY PHARMACY INC
Active
Other names
Family Pharmacy #18
Organization subpart
No
Provider details
NPI number
Authorized official
LYNN A MORRIS (PRESIDENT)
(417) 581-4335
Entity
Organization
Contact information
Practice address
3202 INDIANA AVE, JOPLIN, MO 64804-4037
(417) 623-3800
(417) 623-1113
Mailing address
3202 INDIANA AVE, JOPLIN, MO 64804-4037
(417) 623-3800
(417) 623-1113
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
2005017363
MO
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2629282
NCPDP
MO
05
—
600399802
—
MO
01
—
620399808
MEDICAID DME
MO
05
—
620399808
—
MO
Enumeration date
02/20/2006
Last updated
04/06/2017
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