Mizzou Pharmacy - S. Providence

LBN: Curators Of The University Of Missouri
Mizzou Pharmacy - S. Providence is an health care organization with primary practice located at 551 Veterans United Dr , Columbia MO 65201-8397. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Curators Of The University Of Missouri can be contacted via phone (573) 882-3151, or through Ransom, Frederic A. via phone (573) 884-0054.

Contact Information

Primary practice address
551 Veterans United Dr Columbia MO 65201-8397
Fax: (573) 884-5022
Website:
Authorized official contact:
Name: Ransom, Frederic A.

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 004802 Missouri
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1598776031
LBN Legal business name Curators Of The University Of Missouri
DBA Doing business as Mizzou Pharmacy - S. Providence
Authorized official Ransom, Frederic A.
Entity Organization
Organization subpart 1 No
Enumeration date Aug 10th, 2006
Last updated Jun 29th, 2023 - about last year

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 1598776031 NPPES
Missouri MEDICAID 600565410
Missouri Other 2050968

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