Healthcare Provider Details

I. General information

NPI: 1407300999
Provider Name (Legal Business Name): HERMANN FAMILY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2016
Last Update Date: 10/21/2025
Certification Date: 10/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

195 STATE HIGHWAY 100 W
HERMANN MO
65041-1577
US

IV. Provider business mailing address

195 STATE HIGHWAY 100 W
HERMANN MO
65041-1577
US

V. Phone/Fax

Practice location:
  • Phone: 573-486-2873
  • Fax: 573-486-5463
Mailing address:
  • Phone: 573-486-2873
  • Fax: 573-486-5463

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number2016028602
License Number StateMO
# 3
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: THUY T MCGARRAH
Title or Position: PHARMACIST
Credential: RPH
Phone: 573-486-5879