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Contact Information

CHILLICOTHE FAMILY PHARMACY, LLC
504 S WASHINGTON ST
CHILLICOTHE, MO64601-3038
 Phone: 660-240-0828
 Fax: 660-070-0019
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Diabetes Educator

163WD0400X
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
Indicates primary specialty

NPI Profile & details for CHILLICOTHE FAMILY PHARMACY, LLC

NPI # 1407245012
LBN Legal business name CHILLICOTHE FAMILY PHARMACY, LLC
Authorized official SCOTT CADY - (PIC/ CO-OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/20/2015
Last updated 05/14/2019 - About 7 years ago
Identifiers
MO License # 2015012618
MO Medicaid 600021831
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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