institution
State Of Missouri
Long Term Care Pharmacy in Saint Louis, Missouri
NPI 1619016862

State Of Missouri is a Long Term Care Pharmacy based in Jefferson City, MO and is specialized in Long Term Care Pharmacy. State Of Missouri practices in Saint Louis, MO. The NPI Number for State Of Missouri is 1619016862 and holds a License No. (Missouri).

The current practice location address for State Of Missouri is 5351 Delmar Blvd, Saint Louis, MO and can be reached out via phone at 314-877-0663 and via fax at 314-877-0662.

Location: 5351 Delmar Blvd, Saint Louis, MO, 65101-4130
institution
Provider Profile Details
NPI Number
1619016862
Provider Name
State Of Missouri
Credential
Provider Entity Type
Organization
Address
5351 Delmar Blvd, Saint Louis, MO, 65101-4130
Phone Number
314-877-0663
Fax Number
314-877-0662
Provider Enumeration Date
02/05/2007
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
2636364 01 NCPDP
institution
Provider Business Practice Location Address Details
Address
5351 Delmar Blvd
City
State
Zip
63112-3146
Phone Number
314-877-0663
Fax Number
314-877-0662
person
Provider Business Mailing Address Details
Address
5351 Delmar Blvd
City
State
Zip
63112-3146
Phone Number
314-877-0663
Fax Number
314-877-0662
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Long Term Care Pharmacy
Taxonomy
License No.
()
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
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