| NPI | 1215902630 |
|---|---|
| Doing Business As | FAMILY PHARMACY #11 |
| Entity Type | Organization |
| Authorized Contact | LYNN A MORRIS Owner/President 417-581-4335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: MO 2002026762) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| Enumeration Date | 2006-02-20 |
| Last Update Date | 2017-04-06 |