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NPI Code Detail

MEDICARE: FAMILY PHARMACY

MEDICARE: FAMILY PHARMACY
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
13336C0003XCommunity/Retail Pharmacy4995MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
22625880OTHERMONABP

General Provider Information

NPI Number : 1841346269
Entity Type Code : Organization
Provider Name (Legal Business Name) : FAMILY PHARMACY
Provider Business Mailing Address
First Line : 806 N STURGEON ST
Second Line :
City : MONTGOMERY CITY
State : MO
Zip : 63361-1426
Country : US
Telephone Number : 573-564-2273
Fax Number : 573-564-5249
Provider Business Practice Location Address
First Line : 806 N STURGEON ST
Second Line :
City : MONTGOMERY CITY
State : MO
Zip : 63361-1426
Country : US
Telephone Number : 573-564-2273
Fax Number : 573-564-5249
Authorized Official
Title or Position : PARTNER
Name : MR. JOHN B HOLTMAN
Credential :
Telephone Number : 573-564-2272
Provider Enumeration Date : 01/26/2007
Last Update Date : 06/13/2013

Similar Medicare Providers

1629295563 — FAMILY PHARMACY
Practice Location Address:
806 N STURGEON ST
MONTGOMERY CITY, MO
63361-1426
Practice Phone: 573-564-2273
Practice Fax: 573-564-5249
1306202288 — SUSAN MOUNT
Practice Location Address:
806 N STURGEON ST
MONTGOMERY CITY, MO
63361-1426
Practice Phone: 573-564-2273
Practice Fax:
1396104824 — MRS. JANET HOLTMAN
Practice Location Address:
806 N STURGEON ST
MONTGOMERY CITY, MO
63361-1426
Practice Phone: 573-564-2273
Practice Fax: 573-564-5249
1366940280 — MS. ELIZABETH A HOLTMAN PHARMD
Practice Location Address:
806 N STURGEON ST
MONTGOMERY CITY, MO
63361-1426
Practice Phone: 573-564-2273
Practice Fax: 573-564-5249
1255972196 — FAMILY PHARMACY
Practice Location Address:
806 N STURGEON ST
MONTGOMERY CITY, MO
63361-1426
Practice Phone: 573-564-2231
Practice Fax: 573-564-5249
1932215167 — GROUP HOMES FOR CHILDREN, INC
Practice Location Address:
1426 S COURT ST
MONTGOMERY, AL
36104-5412
Practice Phone: 334-262-2953
Practice Fax: 334-264-2050

Directions to “FAMILY PHARMACY ” Practice Location

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