MEDICARE: PREFERRED FAMILY HEALTHCARE, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0002X	Clinic Pharmacy
2	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1346696572
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PREFERRED FAMILY HEALTHCARE, INC.

Provider Business Mailing Address
First Line	:	3401 BERRYWOOD DR STE 102
Second Line	:
City	:	COLUMBIA
State	:	MO
Zip	:	65201-6515
Country	:	US
Telephone Number	:	573-777-8430
Fax Number	:	573-777-8431

Provider Business Practice Location Address
First Line	:	3401 BERRYWOOD DR
Second Line	:	SUITE 102
City	:	COLUMBIA
State	:	MO
Zip	:	65201-6515
Country	:	US
Telephone Number	:	573-777-8430
Fax Number	:	573-777-8431

Authorized Official
Title or Position	:	VP, MANAGED CARE
Name	:	AMANDA R CARTER
Credential	:
Telephone Number	:	417-761-5126

Provider Enumeration Date	:	05/06/2016
Last Update Date	:	04/06/2026

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