Organization
COLUMBIA ORTHOPAEDIC GROUP PHARMACY LLC
Active
Other names
The Pharmacy at Columbia Orthopaedic Group
Organization subpart
No
Provider details
NPI number
Authorized official
GENE AUSTIN (CEO)
(573) 876-8668
Entity
Organization
Contact information
Practice address
1 S KEENE ST, COLUMBIA, MO 65201-7199
(573) 876-8410
Mailing address
1 S KEENE ST, COLUMBIA, MO 65201-7199
(573) 876-8410
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
2012027156
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2136140
PK
—
Enumeration date
07/18/2012
Last updated
05/18/2016
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