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SCOTT FAMILY PHARMACY LLC NPI 1932215415


NPI Information

NPI: 1932215415
Provider Name: SCOTT FAMILY PHARMACY LLC
Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
414 W GRAND AVE
CAMPBELL, MO
ZIP 63933
Phone: (573) 246-2514
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SCOTT FAMILY PHARMACY LLC is a pharmacy in Campbell, 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. SCOTT FAMILY PHARMACY LLC NPI is 1932215415. The provider is registered as an organization entity type.

The provider's business location address is:

414 W GRAND AVE
CAMPBELL, MO
ZIP 63933
Phone: (573) 246-2514
Fax: (573) 246-2474

The provider's authorized official is Craig R Scott .
The authorized official title is Owner Member and has the following contact phone number (573) 246-2514.

The enumeration date for this NPI number is 8/21/2006 and was last updated on 12/6/2010.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical Supplies2002014845MISSOURINo
2333600000XPharmacy2002014845MISSOURIYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1600051213MEDICAIDMISSOURI
24584570001MEDICARE NSC
3620051201MEDICAIDMISSOURI

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: 5/5/2024

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