Organization
MISSOURI CANCER ASSOCIATES LLC
Active
Parent organization
MISSOURI CANCER ASSOCIATES LLC
Other names
Missouri Cancer Care Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
MISSOURI CANCER ASSOCIATES LLC
Authorized official
DR. MICHAEL PERKINS PHARMD (PHARMACY MANAGER)
(573) 817-8527
Entity
Organization
Contact information
Practice address
1705 E BROADWAY, SUITE 100, COLUMBIA, MO 65201-7166
(573) 817-8527
(573) 449-4246
Mailing address
1705 E BROADWAY STE 100, COLUMBIA, MO 65201-7167
(573) 817-8527
(573) 449-4246
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
2000151351
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
608518809
—
MO
Enumeration date
11/24/2006
Last updated
11/24/2025
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