Organization
JRS ENTERPRISES II MISSOURI LLC
Active
Other names
Versailles Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES STEPP (OWNER)
(573) 378-5000
Entity
Organization
Contact information
Practice address
700 W CLAY RD, VERSAILLES, MO 65084-1012
(573) 378-5000
(573) 378-1920
Mailing address
700 WEST CLAY ROAD, VERSAILLES, MO 65084
(573) 378-5000
(573) 378-1920
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
2017011003
MO
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2168682
PK
—
05
—
600042664
—
MO
Enumeration date
12/30/2016
Last updated
02/07/2024
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