Organization
JEFFERSON CITY APOTHECARY LLC
Active
Other names
JEFFERSON CITY APOTHECARY
Organization subpart
No
Provider details
NPI number
Authorized official
ULDIS PIRONIS (RPH)
(573) 634-8300
Entity
Organization
Contact information
Practice address
1739 ELM CT STE 108, JEFFERSON CITY, MO 65101-4303
(573) 634-8300
(573) 634-8399
Mailing address
1739 ELM CT STE 108, JEFFERSON CITY, MO 65101-4303
(573) 634-8300
(573) 634-8399
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
2003010139
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2048898
PK
—
05
—
606058402
—
MO
Enumeration date
09/13/2006
Last updated
12/18/2016
Update your record
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