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FAMILY PHARMACY OF MISSOURI LLC NPI 1366417214


NPI Information

NPI: 1366417214
Provider Name: FAMILY PHARMACY OF MISSOURI LLC

Doing Business As: FAMILY PHARMACY #3

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
924 W MT VERNON
NIXA, MO
ZIP 65714
Phone: (417) 725-2624
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FAMILY PHARMACY OF MISSOURI LLC is a pharmacy in Nixa, MO. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. FAMILY PHARMACY OF MISSOURI LLC NPI is 1366417214. The provider is registered as an organization entity type.
The provider Is Doing Business As Family Pharmacy #3.

The provider's business location address is:

924 W MT VERNON
NIXA, MO
ZIP 65714
Phone: (417) 725-2624
Fax: (417) 725-2625

The provider's authorized official is Lynn A Morris .
The authorized official title is Owner and has the following contact phone number (417) 581-4335.

The enumeration date for this NPI number is 2/22/2006 and was last updated on 3/6/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
2333600000XPharmacy3679MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
16045300001MEDICARE NSC
24477450001MEDICARE NSC
32616653OTHERMISSOURINCPDP

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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