Nutritional Support Services in Fenton - Long Term Care Pharmacy
Nutritional Support Services - NPI 1679594626
Nutritional Support Services is a Long Term Care Pharmacy in Fenton, Missouri. Nutritional Support Services practices all healthcare services and medical treatments related to Long Term Care Pharmacy. The NPI Number for Nutritional Support Services is 1679594626. The last update date is 2020-01-28.
Nutritional Support Services's current location address is 1329 Horan Dr, Fenton, Missouri. You can contact this provider via phone number 6367792700 and fax number 6367792704. The mailing address for Nutritional Support Services is 1329 Horan Dr, Fenton, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Nutritional Support Services |
|---|---|
| Address | 1329 Horan Dr, Fenton, Missouri |
| Phone Number | 6367792700 |
| Fax Number | 6367792704 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Leeman Terry |
| Telephone Number | 6158902020 |
NPI Number Detail
| NPI Number | 1679594626 |
|---|---|
| Provider Enumeration Date | 2006-07-22 |
| Last Updated Date | 2020-01-28 |
Provider Mailing Address Detail
| Address | 1329 Horan Dr |
|---|---|
| City | Fenton |
| State | Missouri (MO) |
| Post Code | 630261939 |
| Phone Number | 6367792700 |
| Fax Number | 6367792704 |
Provider's Primary Taxonomy Detail
| Speciality | Long Term Care Pharmacy |
|---|---|
| Taxonomy | 3336L0003X |
| Licence No | 2004034239 |
|
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 |
|---|---|---|---|
| 606172203 | MO | -- | |
| 2049057 | PK |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Nutritional Support Services by the Centers for Medicare & Medicaid Services?
The Nutritional Support Services has been assigned the NPI (National Provider Identifier) 1679594626 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Nutritional Support Services is located?
The Nutritional Support Services is situated at the following address: 1329 Horan Dr, Fenton, MO, 630261939.
What is Nutritional Support Services's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Nutritional Support Services is Long Term Care Pharmacy, and the taxonomy code that classifies this field of practice is 3336L0003X.
On what date did the Centers for Medicare & Medicaid Services issue the 1679594626 to Nutritional Support Services?
The Nutritional Support Services received its 1679594626 assignment from the Centers for Medicare & Medicaid Services on 2006-07-22.
When was the information pertaining to Nutritional Support Services most recently updated or revised?
The details related to Nutritional Support Services, including its address, specialty, and other relevant information, were last updated or revised on 2020-01-28.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY
NPI Number: 1447253448
Address: 4420 E Miraloma Ave Ste F, Anaheim, CA