Organization
PYRAMID PHARMACY, LLC
Active
Other names
Pyramid Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY ANN ROBERTS (PHARMACIST IN CHARGE)
(573) 556-5551
Entity
Organization
Contact information
Practice address
3501 W TRUMAN BLVD, SUITE H, JEFFERSON CITY, MO 65109-0514
(573) 556-5551
(573) 556-5552
Mailing address
3501 W TRUMAN BLVD, SUITE H, JEFFERSON CITY, MO 65109-0514
(573) 556-5551
(573) 556-5552
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
2010035928
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
606488302
—
MO
Enumeration date
03/30/2016
Last updated
03/30/2016
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