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Odessa Family Pharmacy

Odessa Family Pharmacy is a health care provider in Odessa, MO. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 316 W 40 Hwy, Ste A, Odessa, MO 64076, US
Practice Location Phone816-633-8480
Practice Location Fax816-230-5675
Legal Business NameODESSA FAMILY PHARMACY
Other Organization NameODESSA FAMILY PHARMACY
Other Organization Name TypeDoing Business As Name
NPI ?1285675132
Entity TypeOrganization
Enumeration Date ? Jun 10, 2006
Last Update Date ? Dec 23, 2011
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Odessa Family Pharmacy

SpecialtySpecializationLicenseLicense State
Pharmacy
PharmacyCommunity/Retail Pharmacy 004338Missouri

legacy-id-icon Legacy Provider IDs of Odessa Family Pharmacy

Provider IdIssuer StateIssuer TypeIssuer
2615194OtherNCPDP PROVIDER IDENTIFICATION NUMBER
600748503 MOMissouriMedicaid

official-icon Authorized Official of Odessa Family Pharmacy

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Odessa Family Pharmacy's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Marsha Dirck (RPH)
Authorized Official Title/PositionOWNER
Authorized Official Phone Number816-633-8480