Organization
SHOW ME STATE INFUSION PHARMACY
Active
Other names
Show Me State Vital Care
Organization subpart
No
Provider details
NPI number
Authorized official
ROSS VOGEL (MANAGING MEMBER)
(816) 552-5200
Entity
Organization
Contact information
Practice address
420 NW BUSINESS PARK LN, RIVERSIDE, MO 64150-9572
(816) 552-5200
(816) 552-5201
Mailing address
420 NW BUSINESS PARK LN, RIVERSIDE, MO 64150-9572
(816) 552-5200
(816) 552-5201
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
333600000X
Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
Primary
—
—
Other
Enumeration date
11/08/2022
Last updated
10/07/2025
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