| NPI | 1871875807 |
|---|---|
| Doing Business As | FAMILY PHARMACY #28 |
| Entity Type | Organization |
| Authorized Contact | CARRIE TENNIS Director Of Operations 417-581-4335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: MO 2011029958) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| 3336C0004X Pharmacy Compounding Pharmacy | |
| 3336L0003X Pharmacy Long Term Care Pharmacy | |
| 3336M0003X Pharmacy Managed Care Organization Pharmacy | |
| 3336S0011X Pharmacy Specialty Pharmacy | |
| Enumeration Date | 2011-09-15 |
| Last Update Date | 2014-01-24 |