Organization
CURATORS OF THE UNIVERSITY OF MISSOURI
Active
Other names
Mizzou Pharmacy- MO Orthopedic Institute
Organization subpart
No
Provider details
NPI number
Authorized official
FREDERIC A. RANSOM (CEO)
(573) 884-0054
Entity
Organization
Contact information
Practice address
1100 VIRGINIA AVE, ROOM 1093, COLUMBIA, MO 65212-0001
(573) 884-3020
(573) 884-3112
Mailing address
PO BOX 843310, KANSAS CITY, MO 64184-3310
(573) 884-3020
(573) 884-3112
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
2010008031
MO
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1427376508
—
MO
01
—
2124539
PK
—
Enumeration date
05/13/2010
Last updated
06/29/2023
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