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.
|Practice Location|| 316 W 40 Hwy, Ste A, Odessa, MO 64076, US |
|Practice Location Phone||816-633-8480|
|Practice Location Fax||816-230-5675|
|Legal Business Name||ODESSA FAMILY PHARMACY|
|Other Organization Name||ODESSA FAMILY PHARMACY|
|Other Organization Name Type||Doing Business As Name|
|Enumeration Date ? ||Jun 10, 2006|
|Last Update Date ? ||Dec 23, 2011|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
Specialties & Licenses of Odessa Family Pharmacy
|Specialty||Provider Type||Specialization||License||License State|
|Pharmacy||Suppliers||Community/Retail Pharmacy ||004338||Missouri|
Legacy Provider IDs of Odessa Family Pharmacy
|Provider Id||Issuer State||Issuer Type||Issuer|
|2615194||Other||NCPDP PROVIDER IDENTIFICATION NUMBER|
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/Position||OWNER|
|Authorized Official Phone Number||816-633-8480|