is a Compounding Pharmacy in Columbia, Missouri. practices all healthcare services and medical treatments related to Compounding Pharmacy. The NPI Number for is 1205986213. The last update date is .
's current location address is 1608 Chapel Hill Rd, Columbia, Missouri. You can contact this provider via phone number 5734474444 and fax number 5734474054. The mailing address for is 1608 Chapel Hill Rd, Columbia, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 1608 Chapel Hill Rd, Columbia, Missouri |
| Phone Number | 5734474444 |
| Fax Number | 5734474054 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1205986213 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 1608 Chapel Hill Rd |
|---|---|
| City | Columbia |
| State | Missouri (MO) |
| Post Code | 652035464 |
| Phone Number | 5734474444 |
| Fax Number | 5734474054 |
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 |
|---|---|---|---|
| 2632570 | NCPDP PROVIDER IDENTIFICATION | ||
| 604629204 | MO | -- |
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