Organization Name: | FAMILY PHARMACY INC. |
NPI Number: | 1013224047 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CARRIE TENNIS (DIRECTOR OF OPERATIONS) |
Mailing Address: | 916 N.w. 12th Ave Suite F Ava |
State: | MO US |
Postal Code: | 65608 |
Phone Number: | 4176831760 |
Fax Number: | 4176831768 |
NPI Enumeration Date: | 09/13/2010 |
NPI Last Update Date: | 01/24/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |