Organization
CURATORS OF THE UNIVERSITY OF MISSOURI
Active
Other names
Mizzou Pharmacy - Versailles
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FREDERIC A. RANSOM (CEO)
(573) 884-0054
Entity
Organization
Contact information
Practice address
901 KIDWELL DR, VERSAILLES, MO 65084
(573) 378-4661
(573) 378-5053
Mailing address
901 KIDWELL DR, VERSAILLES, MO 65084
(573) 378-4661
(573) 378-5053
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
003197
MO
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
600383608
—
MO
Enumeration date
07/10/2006
Last updated
04/08/2025
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