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Organization

MISSOURI PHARMACIST CARE NETWORK, LLC

Active
Parent organization
MISSOURI PHARMACY ASSOCIATION
Other names
MoPCN
Organization subpart
Yes

Provider details

NPI number
Legal business name
MISSOURI PHARMACY ASSOCIATION
Authorized official
RON FITZWATER CAE (MANAGER)
(573) 636-7522
Entity
Organization

Contact information

Practice address
211 E CAPITOL AVE, JEFFERSON CITY, MO 65101-3001
(573) 636-7522
(573) 636-7485
Mailing address
211 E CAPITOL AVE, JEFFERSON CITY, MO 65101-3001
(573) 636-7522
(573) 636-7485

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
332B00000X
Durable Medical Equipment & Medical Supplies
333600000X
Pharmacy

Other

Enumeration date
09/11/2010
Last updated
09/11/2010
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