Organization
CURATORS OF THE UNIVERSITY OF MISSOURI
Active
Other names
Mizzou Pharmacy - CRMC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FREDERIC A. RANSOM (CEO)
(573) 884-0054
Entity
Organization
Contact information
Practice address
1125 MADISON ST, JEFFERSON CITY, MO 65101-5227
(573) 632-5295
(573) 632-5874
Mailing address
1125 MADISON ST, JEFFERSON CITY, MO 65101-5227
(573) 632-5295
(573) 632-5874
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
2012014230
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2135154
PK
—
05
—
608414702
—
MO
Enumeration date
05/15/2012
Last updated
01/04/2024
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