Organization
NUTRITIONAL SUPPORT SERVICES
Active
Organization
NUTRITIONAL SUPPORT SERVICES
Active
Other names
NETWORK HEALTHCARE MISSOURI
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY LEEMAN (PRESIDENT)
(615) 890-2020
Entity
Organization
Contact information
Practice address
1329 HORAN DR, FENTON, MO 63026-1939
(636) 779-2700
(636) 779-2704
Mailing address
PO BOX 32249, KNOXVILLE, TN 37930-2249
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
2004034239
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2049057
PK
—
05
—
606172203
—
MO
Enumeration date
07/22/2006
Last updated
01/28/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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