ODESSA FAMILY PHARMACY

Community/Retail Pharmacy

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

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Contact Information

ODESSA FAMILY PHARMACY

316 W 40 HWY
STE A
ODESSA, MO 64076

Phone: 816-633-8480
Fax: 816-230-5675
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Community/Retail Pharmacy	3336C0003X	58	Medical Supply Company with Pharmacist
Pharmacy	333600000X	58	Medical Supply Company with Pharmacist

Indicates primary specialty

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NPI Profile & details for ODESSA FAMILY PHARMACY

NPI Number 1285675132

LBN Legal business name ODESSA FAMILY PHARMACY

Authorized official MARSHA DIRCK - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 06/10/2006

Last updated 12/23/2011 - About 14 years ago

Identifiers

MO	License #	004338
MO	Medicaid	600748503 MO
	Other	2615194	NCPDP PROVIDER IDENTIFICATION NUMBER

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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