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Contact Information

PUXICO PHARMACY, LLC
190 E. RICHARDSON AVE
PUXICO, MO63960
 Phone: 573-222-6206
 Fax: 573-222-6406
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
 

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for PUXICO PHARMACY, LLC

NPI # 1740364850
LBN Legal business name PUXICO PHARMACY, LLC
Authorized official ABRAHAM FUNK - (PRESIDENT/OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/25/2006
Last updated 04/27/2022 - About 4 years ago
Identifiers
MO License # 042607
MO Medicaid 600-096-507
MO Medicaid 620096503
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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