Organization
FAMILY PHARMACY OF MISSOURI LLC
Active
Other names
Family Pharmacy #7
Organization subpart
No
Provider details
NPI number
Authorized official
LYNN A MORRIS R.PH. (OWNER/PRESIDENT)
(417) 581-4335
Entity
Organization
Contact information
Practice address
180 MALL RD, SUITE A & B, HOLLISTER, MO 65672-9602
(417) 334-9006
(417) 334-9222
Mailing address
PO BOX 507, HOLLISTER, MO 65673-0507
(417) 334-9006
(417) 334-9222
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
6431
MO
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2632102
NCPDP
MO
05
—
603908500
—
MO
01
—
623908506
MEDICAID DME
MO
05
—
623908506
—
MO
Enumeration date
02/22/2006
Last updated
04/06/2017
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