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NPI Code Detail

MEDICARE: FORBES PHARMACY LLC

MEDICARE: FORBES PHARMACY LLC
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 Pharmacy

General Provider Information

NPI Number : 1962245712
Entity Type Code : Organization
Provider Name (Legal Business Name) : FORBES PHARMACY LLC
Provider Business Mailing Address
First Line : PO BOX 495
Second Line :
City : LICKING
State : MO
Zip : 65542-0495
Country : US
Telephone Number : 573-674-2995
Fax Number : 573-674-2995
Provider Business Practice Location Address
First Line : 100 N GRAND AVE
Second Line :
City : HOUSTON
State : MO
Zip : 65483-1222
Country : US
Telephone Number : 417-318-0330
Fax Number :
Authorized Official
Title or Position : OWNER
Name : JEREMY RINNE
Credential :
Telephone Number : 417-350-4619
Provider Enumeration Date : 06/18/2024
Last Update Date : 06/18/2024

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Directions to “FORBES PHARMACY LLC ” Practice Location

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