Organization
FAMILY PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN B HOLTMAN (PARTNER)
(573) 564-2272
Entity
Organization
Contact information
Practice address
806 N STURGEON ST, MONTGOMERY CITY, MO 63361-1426
(573) 564-2273
(573) 564-5249
Mailing address
806 N STURGEON ST, MONTGOMERY CITY, MO 63361-1426
(573) 564-2273
(573) 564-5249
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
4995
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2625880
NABP
MO
05
—
602645509
—
MO
Enumeration date
01/26/2007
Last updated
06/13/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us