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Contact Information

SCOTT FAMILY PHARMACY LLC
414 W GRAND AVE
CAMPBELL, MO63933
 Phone: 573-246-2514
 Fax: 573-246-2474
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
Indicates primary specialty

NPI Profile & details for SCOTT FAMILY PHARMACY LLC

NPI # 1932215415
LBN Legal business name SCOTT FAMILY PHARMACY LLC
Authorized official CRAIG SCOTT - (OWNER MEMBER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/21/2006
Last updated 12/06/2010 - About 16 years ago
Identifiers
MO License # 2002014845
MO Medicaid 600051213
MO Medicaid 620051201
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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