State Of Missouri in Saint Joseph - Long Term Care Pharmacy
State Of Missouri - NPI 1750420188
State Of Missouri is a Long Term Care Pharmacy in Saint Joseph, 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 1750420188. The last update date is 2020-09-03.
State Of Missouri's current location address is 3505 Frederick Ave, Saint Joseph, Missouri. You can contact this provider via phone number 8163872564 and fax number 8163872391. The mailing address for State Of Missouri is 3505 Frederick Ave, Saint Joseph, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | State Of Missouri |
|---|---|
| Address | 3505 Frederick Ave, Saint Joseph, Missouri |
| Phone Number | 8163872564 |
| Fax Number | 8163872391 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR O |
|---|---|
| Authorized Official Name | Boeckmann Jane Molly |
| Telephone Number | 5737514055 |
NPI Number Detail
| NPI Number | 1750420188 |
|---|---|
| Provider Enumeration Date | 2007-02-05 |
| Last Updated Date | 2020-09-03 |
Provider Mailing Address Detail
| Address | 3505 Frederick Ave |
|---|---|
| City | Saint Joseph |
| State | Missouri (MO) |
| Post Code | 645062914 |
| Phone Number | 8163872564 |
| Fax Number | 8163872391 |
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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2614255 | 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) 1750420188. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where State Of Missouri's facilities are geographically located?
The facilities of State Of Missouri are physically situated at the following location: 3505 Frederick Ave, Saint Joseph, MO, 645062914.
What is State Of Missouri's area of expertise and its corresponding taxonomy classification?
The State Of Missouri's field of specialization is Long Term Care Pharmacy, and it falls under the taxonomy code 3336L0003X, which categorizes healthcare providers based on their areas of practice.
When was the State Of Missouri's 1750420188 issued?
The State Of Missouri's 1750420188 was issued on 2007-02-05.
When was the information regarding State Of Missouri, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to State Of Missouri, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-09-03.