State Of Missouri in Farmington - Pharmacy

State Of Missouri - NPI 1669511093

State Of Missouri is a Pharmacy in Farmington, Missouri. State Of Missouri practices all healthcare services and medical treatments related to Pharmacy. The NPI Number for State Of Missouri is 1669511093. The last update date is 2020-08-28.

State Of Missouri's current location address is 1010 W Columbia St, Farmington, Missouri. You can contact this provider via phone number 5732186759 and fax number 5732186762. The mailing address for State Of Missouri is 1010 W Columbia St, Farmington, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Organization State Of Missouri
Address 1010 W Columbia St, Farmington, Missouri
Phone Number 5732186759
Fax Number 5732186762
Sole Proprietor --
Credentials --

Authorized Official

Title or Position DIRECTOR O
Authorized Official Name Boeckmann Jane Molly
Telephone Number 5737514055

NPI Number Detail

NPI Number 1669511093
Provider Enumeration Date 2007-02-05
Last Updated Date 2020-08-28

Provider Mailing Address Detail

Address 1010 W Columbia St
City Farmington
State Missouri (MO)
Post Code 636402902
Phone Number 5732186759
Fax Number 5732186762

Provider's Primary Taxonomy Detail

Speciality Pharmacy
Taxonomy 333600000X
Definition:
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense presc

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
50490200 MO --
2048857 PK

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FAQs about State Of Missouri

What is the unique 10-digit identification code issued to State Of Missouri by the Centers for Medicare & Medicaid Services?

The State Of Missouri has been assigned the NPI (National Provider Identifier) 1669511093 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Where is the State Of Missouri located?

The State Of Missouri is located at 1010 W Columbia St, Farmington, MO 636402902.

What is State Of Missouri's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for State Of Missouri is Pharmacy, and the taxonomy classification code that categorizes this area of expertise is 333600000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1669511093 to State Of Missouri?

The State Of Missouri received its 1669511093 assignment from the Centers for Medicare & Medicaid Services on 2007-02-05.

When was the information pertaining to State Of Missouri most recently updated or revised?

The details related to State Of Missouri, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-28.

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