Mizzou Pharmacy - Versailles

LBN: Curators Of The University Of Missouri
Mizzou Pharmacy - Versailles is an health care organization with primary practice located at 901 Kidwell Dr , Versailles MO 65084. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Curators Of The University Of Missouri can be contacted via phone (573) 378-4661, or through Ransom, Frederic A. via phone (573) 884-0054.

Contact Information

Primary practice address
901 Kidwell Dr Versailles MO 65084
Fax: (573) 378-5053
Website:
Authorized official contact:
Name: Ransom, Frederic A.

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 003197 Missouri
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1922032903
LBN Legal business name Curators Of The University Of Missouri
DBA Doing business as Mizzou Pharmacy - Versailles
Authorized official Ransom, Frederic A.
Entity Organization
Organization subpart 1 No
Enumeration date Jul 10th, 2006
Last updated Jan 4th, 2024 - about 10 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 1922032903 NPPES
Missouri MEDICAID 600383608

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