Organization
SCOTT FAMILY PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CRAIG R SCOTT RPH (OWNER MEMBER)
(573) 246-2514
Entity
Organization
Contact information
Practice address
414 W GRAND AVE, CAMPBELL, MO 63933
(573) 246-2514
(573) 246-2474
Mailing address
PO BOX 127, 414 W GRAND AVE, CAMPBELL, MO 63933
(573) 246-2514
(573) 246-2474
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
2002014845
MO
333600000X
Pharmacy
Primary
2002014845
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
600051213
—
MO
05
—
620051201
—
MO
Enumeration date
08/21/2006
Last updated
12/06/2010
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