State Of Missouri in Jefferson City - Long Term Care Pharmacy
State Of Missouri - NPI 1619016862
State Of Missouri is a Long Term Care Pharmacy in Jefferson City, Missouri. State Of Missouri practices all healthcare services and medical treatments related to Long Term Care Pharmacy. The NPI Number for State Of Missouri is 1619016862. The last update date is 2020-10-27.
State Of Missouri's current location address is 1706 E Elm St, Jefferson City, Missouri. You can contact this provider via phone number 5737513398 and fax number 5735264560. The mailing address for State Of Missouri is 1706 E Elm St, Jefferson City, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | State Of Missouri |
|---|---|
| Address | 1706 E Elm St, Jefferson City, Missouri |
| Phone Number | 5737513398 |
| Fax Number | 5735264560 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR O |
|---|---|
| Authorized Official Name | Boeckmann Jane Molly |
| Telephone Number | 5737514055 |
NPI Number Detail
| NPI Number | 1619016862 |
|---|---|
| Provider Enumeration Date | 2007-02-05 |
| Last Updated Date | 2020-10-27 |
Provider Mailing Address Detail
| Address | 1706 E Elm St |
|---|---|
| City | Jefferson City |
| State | Missouri (MO) |
| Post Code | 651014130 |
| Phone Number | 5737513398 |
| Fax Number | 5735264560 |
Provider's Primary Taxonomy Detail
| Speciality | Long Term Care Pharmacy |
|---|---|
| Taxonomy | 3336L0003X |
|
Definition: A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregat |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2636364 | NCPDP |
Post Comment/ Review Below
What is the unique identifier code issued to State Of Missouri by the Centers for Medicare & Medicaid Services (CMS)?
The State Of Missouri has been assigned the NPI (National Provider Identifier) 1619016862. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where State Of Missouri is geographically located?
The State Of Missouri is physically situated at the following location: 1706 E Elm St, Jefferson City, MO, 651014130.
What is State Of Missouri's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for State Of Missouri is Long Term Care Pharmacy, and the taxonomy code that classifies this field of practice is 3336L0003X.
On what date did the State Of Missouri receive the assignment of its 1619016862 from the Centers for Medicare & Medicaid Services?
The State Of Missouri was issued its 1619016862 by the Centers for Medicare & Medicaid Services on 2007-02-05.
As of what date were the details pertaining to State Of Missouri last refreshed?
The information related to the State Of Missouri, including its address, specialty, and other relevant details, was last updated on 2020-10-27.