| NPI | 1750579710 |
|---|---|
| Doing Business As | FAMILY PHARMACY #23 |
| Entity Type | Organization |
| Authorized Contact | CARRIE TENNIS Dir Of Oper 417-581-4335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MO 2007032455) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| Enumeration Date | 2007-10-04 |
| Last Update Date | 2014-03-31 |