Organization
CAPITAL CARE PHARMACY
Active
Parent organization
CAPITAL REGION MEDICAL CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
CAPITAL REGION MEDICAL CENTER
Authorized official
ED FARNSWORTH (PRESIDENT)
(573) 632-5001
Entity
Organization
Contact information
Practice address
1125 MADISON ST, JEFFERSON CITY, MO 65101-5227
(573) 632-5295
Mailing address
1125 MADISON ST, JEFFERSON CITY, MO 65101-5227
(573) 632-5295
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
2012014230
MO
Other
Enumeration date
05/16/2012
Last updated
05/16/2012
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