Organization
FAMILY PHARMACY OF STRAFFORD INC.
Active
Other names
Family Pharmacy #2
Organization subpart
No
Provider details
NPI number
Authorized official
LYNN A MORRIS R.PH (PRESIDENT/CEO)
(417) 581-4335
Entity
Organization
Contact information
Practice address
307 E OLD ROUTE 66, STRAFFORD, MO 65757-7801
(417) 736-2698
(417) 736-2667
Mailing address
PO BOX 949, OZARK, MO 65721-0949
(417) 736-2698
(417) 736-2667
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
4894
MO
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2615978
NCPDP
MO
05
—
600058002
—
MO
01
—
620058008
MEDICAID DME
MO
Enumeration date
02/20/2006
Last updated
04/12/2017
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