Organization
SSM REGIONAL HEALTH SERVICES
Active
Other names
SSM Health Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY SPENCER (V.P. PHARMACY SERVICES)
(314) 989-2588
Entity
Organization
Contact information
Practice address
2505 MISSON DRIVE, SUITE 110, JEFFERSON CITY, MO 65109-9508
(573) 681-3741
(573) 635-9262
Mailing address
2505 MISSON DRIVE, SUITE 110, JEFFERSON CITY, MO 65109-9508
(573) 681-3741
(573) 635-9262
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
2000144141
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2626325
NCPDP
—
Enumeration date
08/31/2006
Last updated
03/16/2023
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