Healthcare Provider Details

I. General information

NPI: 1518941509
Provider Name (Legal Business Name): FAMILY HEALTH PHARMACIES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/02/2005
Last Update Date: 10/10/2024
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 N COURT ST
BOWLING GREEN MO
63334-1534
US

IV. Provider business mailing address

8 N COURT ST
BOWLING GREEN MO
63334-1534
US

V. Phone/Fax

Practice location:
  • Phone: 573-324-2112
  • Fax: 573-324-0048
Mailing address:
  • Phone: 573-324-2112
  • Fax: 573-324-0048

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number2016042401
License Number StateMO

VIII. Authorized Official

Name: SHARI BLACK
Title or Position: PHARMACIST/OWNER
Credential:
Phone: 573-324-2112