Organization
CURATORS OF THE UNIVERSITY OF MISSOURI
Active
Other names
Mizzou Pharmacy - Southwest Blvd
Organization subpart
No
Provider details
NPI number
Authorized official
FREDERIC A. RANSOM (CEO)
(573) 884-0054
Entity
Organization
Contact information
Practice address
1500 SOUTHWEST BLVD STE D, JEFFERSON CITY, MO 65109-2472
(573) 632-5290
(573) 556-6249
Mailing address
ONE HOSPITAL DRIVE, DC060.00, COLUMBIA, MO 65212-0001
(573) 882-8700
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Enumeration date
03/28/2025
Last updated
03/28/2025
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