Mizzou Pharmacy - Crmc

LBN: Curators Of The University Of Missouri
Mizzou Pharmacy - Crmc is an health care organization with primary practice located at 1125 Madison St , Jefferson City MO 65101-5227. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Curators Of The University Of Missouri can be contacted via phone (573) 632-5295, or through Ransom, Frederic A. via phone (573) 884-0054.

Contact Information

Primary practice address
1125 Madison St Jefferson City MO 65101-5227
Fax: (573) 632-5874
Website:
Authorized official contact:
Name: Ransom, Frederic A.

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 2012014230 Missouri

Profile Details

NPI number 1174882864
LBN Legal business name Curators Of The University Of Missouri
DBA Doing business as Mizzou Pharmacy - Crmc
Authorized official Ransom, Frederic A.
Entity Organization
Organization subpart 1 No
Enumeration date May 15th, 2012
Last updated Jan 4th, 2024 - about 8 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174882864 NPPES
Missouri MEDICAID 608414702
Missouri Other 2135154

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