Organization
FAMILY HEALTH PHARMACIES INC
Active
Other names
FAMILY DRUG
Organization subpart
No
Provider details
NPI number
Authorized official
SHARI BLACK (PRESIDENT)
(573) 754-4551
Entity
Organization
Contact information
Practice address
301 GEORGIA ST, LOUISIANA, MO 63353-1717
(573) 754-4551
(573) 754-6934
Mailing address
301 GEORGIA ST, LOUISIANA, MO 63353-1717
(573) 754-4551
(573) 754-6934
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
2016042402
MO
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2049810
PK
—
05
—
600059901
—
MO
Enumeration date
11/09/2006
Last updated
01/20/2017
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