Organization
CURATORS OF THE UNIVERSITY OF MISSOURI
Active
Other names
Mizzou Pharmacy - Old 63
Organization subpart
No
Provider details
NPI number
Authorized official
FREDERIC A. RANSOM (CEO)
(573) 884-0054
Entity
Organization
Contact information
Practice address
1601 OLD 63 S, COLUMBIA, MO 65201-8412
(573) 884-2653
(573) 884-9434
Mailing address
1601 OLD 63 S, COLUMBIA, MO 65201-8412
(573) 884-2653
(573) 884-9434
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
600092645
—
MO
Enumeration date
12/22/2020
Last updated
06/29/2023
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