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.

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Contact Information

STATE OF MISSOURI

1010 W COLUMBIA ST
FARMINGTON, MO 63640-2902

Phone: 573-218-6759
Fax: 573-218-6762
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Institutional Pharmacy	3336I0012X	58	Medical Supply Company with Pharmacist
Pharmacy	333600000X	58	Medical Supply Company with Pharmacist

Indicates primary specialty

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NPI Profile & details for STATE OF MISSOURI

NPI Number 1669511093

LBN Legal business name STATE OF MISSOURI

Authorized official MOLLY BOECKMANN - (DIRECTOR OF ADMINISTRATIVE SERVICES)

Entity Organization

Organization subpart ¹ No

Enumeration date 02/05/2007

Last updated 08/28/2020 - About 6 years ago

Identifiers

MO	License #	001820
MO	Medicaid	050490200
	Other	2048857	PK

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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