National Provider Identifier Database

STATE OF MISSOURI
Institutional Pharmacy

A pharmacy in a hospital (inpatient) or institution used by pharmacists for the compounding and delivery of medicinal preparations to be administered to the patient by nursing or other authorized personnel. Institutional Pharmacies also counsel patients and caregivers; administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.


Contact Information

STATE OF MISSOURI
1010 W COLUMBIA ST
FARMINGTON, MO63640-2902
Phone: 573-218-6759
Fax: 573-218-6762
Website:
Specialty Taxonomy Code
* Institutional Pharmacy 3336I0012X
Pharmacy 333600000X

* Indicates primary specialty

NPI Profile & details for STATE OF MISSOURI

NPI Number 1669511093
Legal business name
LBN
STATE OF MISSOURI
Authorized official MOLLY BOECKMANN - (DIRECTOR OF ADMINISTRATIVE SERVICES)
Entity Organization
Organization subpart No
Enumeration date 02/05/2007
Last updated 08/28/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • MO License #: 001820
  • MO Medicaid: 050490200
  • Other: 2048857 PK

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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