Kilgore Inc is a Compounding Pharmacy in Columbia, Missouri. Kilgore Inc practices all healthcare services and medical treatments related to Compounding Pharmacy. The NPI Number for Kilgore Inc is 1417901646. The last update date is 2016-01-21.
Kilgore Inc's current location address is 700 N Providence Rd, Columbia, Missouri. You can contact this provider via phone number 5734420194 and fax number 5734438253. The mailing address for Kilgore Inc is 700 N Providence Rd, Columbia, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Kilgore Inc |
|---|---|
| Address | 700 N Providence Rd, Columbia, Missouri |
| Phone Number | 5734420194 |
| Fax Number | 5734438253 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Bromstedt Ann |
| Telephone Number | 5734420194 |
NPI Number Detail
| NPI Number | 1417901646 |
|---|---|
| Provider Enumeration Date | 2006-05-20 |
| Last Updated Date | 2016-01-21 |
Provider Mailing Address Detail
| Address | 700 N Providence Rd |
|---|---|
| City | Columbia |
| State | Missouri (MO) |
| Post Code | 652034373 |
| Phone Number | 5734420194 |
| Fax Number | 5734438253 |
Provider's Primary Taxonomy Detail
| Speciality | Compounding Pharmacy |
|---|---|
| Taxonomy | 3336C0004X |
|
Definition: A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional pract |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 850587205 | MO | -- | |
| 2047047 | PK | ||
| 600587208 | MO | -- | |
| 620587204 | MO | -- | |
| 600587205 | MO | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Kilgore Inc by the Centers for Medicare & Medicaid Services?
The Kilgore Inc has been assigned the NPI (National Provider Identifier) 1417901646 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Kilgore Inc is geographically located?
The Kilgore Inc is physically situated at the following location: 700 N Providence Rd, Columbia, MO, 652034373.
What is Kilgore Inc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Kilgore Inc's specialized field of practice is Compounding Pharmacy, and the corresponding taxonomy code that categorizes this area of specialization is 3336C0004X.
When did Kilgore Inc receive its 1417901646 assignment?
The Kilgore Inc was assigned its 1417901646 on 2006-05-20, which is the date when this unique identifier was issued to the organization.
When was the Kilgore Inc's information last updated?
The Kilgore Inc's information was last updated on 2016-01-21.