Family Pharmacy of Missouri LLC
Organization Active NPI Pharmacy · Forsyth, MO
NPI 1144295015 · NPPES record last updated Apr 6, 2017
Key facts
- NPI
- 1144295015
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pharmacy 333600000X
- License
- 2004008738 (MO)
- Legal business name
- FAMILY PHARMACY OF MISSOURI LLC
- Practice address
- 14974 State Hwy 160
Forsyth, MO 65653 - Phone
- (417) 546-8200
- Fax
- (417) 546-8207
- NPI assigned
- Feb 22, 2006
- Organization subpart
- No
Authorized official
- Name
- Lynn A Morris
- Title
- Owner/President
- Phone
- (417) 581-4335
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | 2004008738 | MO | Yes |
| Long Term Care Pharmacy | 3336L0003X |
Addresses
Primary practice location
14974 State Hwy 160
Forsyth, MO 65653
Mailing address
PO Box 1175
Forsyth, MO 65653-1175
Phone (417) 546-8200
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 626141600 | Other | MO | MEDICAID DME |
| 626141600 | Medicaid | MO | |
| 606141604 | Medicaid | MO | |
| 2635475 | Other | MO | NCPDP |
Other names
- Family Pharmacy #12
Other providers in Forsyth, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 6, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.