Organization
PYRAMID PHARMACY, LLC
Active
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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