Healthcare Provider Details

I. General information

NPI: 1992967509
Provider Name (Legal Business Name): FAMILY PHARMACY PARTNERSHIP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/26/2008
Last Update Date: 06/26/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

180 MALL RD STE A&B
HOLLISTER MO
65672-9602
US

IV. Provider business mailing address

PO BOX 949
OZARK MO
65721-0949
US

V. Phone/Fax

Practice location:
  • Phone: 417-334-9006
  • Fax: 417-334-9222
Mailing address:
  • Phone: 417-581-4335
  • Fax: 417-581-5660

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: LYNN A MORRIS
Title or Position: PRESIDENT
Credential: R.PH.
Phone: 417-581-4335