1841346269 NPI number — FAMILY PHARMACY

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1841346269 NPI number — FAMILY PHARMACY

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
FAMILY PHARMACY
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1841346269
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/13/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
806 N STURGEON ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MONTGOMERY CITY
Provider Business Mailing Address State Name:
MO
Provider Business Mailing Address Postal Code:
63361-1426
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
573-564-2273
Provider Business Mailing Address Fax Number:
573-564-5249

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
806 N STURGEON ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MONTGOMERY CITY
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
63361-1426
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
573-564-2273
Provider Business Practice Location Address Fax Number:
573-564-5249
Provider Enumeration Date:
01/26/2007

Additional Information

Authorized Official

Authorized Official Last Name:
HOLTMAN
Authorized Official First Name:
JOHN
Authorized Official Middle Name:
B
Authorized Official Title or Position:
PARTNER
Authorized Official Telephone Number:
573-564-2272

Provider Taxonomy Codes

  • Taxonomy code: 3336C0003X , with the licence number:  4995 , registered in the state of MO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 602645509 , issued by the state of ( MO ) . This identifiers is of the category "MEDICAID".
  • Identifier: 2625880 . This is a "NABP" identifier , issued by the state of ( MO ) . This identifiers is of the category "OTHER".




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