National Provider Identifier Database

PUXICO PHARMACY LLC
Pharmacy

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.


Contact Information

PUXICO PHARMACY, LLC
190 E. RICHARDSON AVE
PUXICO, MO63960
Phone: 573-222-6206
Fax: 573-222-6406
Website:
Specialty Taxonomy Code
* Pharmacy 333600000X
Long Term Care Pharmacy 3336L0003X

* Indicates primary specialty

NPI Profile & details for PUXICO PHARMACY, LLC

NPI Number 1740364850
Legal business name
LBN
PUXICO PHARMACY, LLC
Authorized official ABRAHAM FUNK - (PRESIDENT/OWNER)
Entity Organization
Organization subpart No
Enumeration date 10/25/2006
Last updated 04/27/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers
  • MO License #: 042607
  • MO Medicaid: 600-096-507
  • MO Medicaid: 620096503

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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