State of Missouri
State of Missouri is a Pharmacy in Farmington, Missouri. Licensed in Missouri. Registered with an NPI since 2007.
- Licensed in
- MO
- In the registry since
- 2007
- Specialties on file
- 2
Practice location Address checks out
1010 W Columbia StFarmington, MO 63640-2902
Phone: (573) 218-6759
Fax: (573) 218-6762
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Institutional Pharmacy (primary) | Taxonomy 3336I0012X · Licence 001820 (MO) |
|---|---|
| Pharmacy | Taxonomy 333600000X |
Record details
| NPI number | 1669511093 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Molly Boeckmann — Director Of Administrative Services · (573) 751-4055 |
| Other names | Southeast Missouri Mental Health Center Pharmacy; Southeast Missouri Mental Health Center Pharmacy |
| NPI enumerated | February 5, 2007 |
| Last updated in NPPES | August 28, 2020 |
| Certification date | August 28, 2020 |
| Mailing address | 1010 W Columbia St, Farmington, MO 63640-2902 |
Other providers in Farmington
-
Town & Country Grocers of Fredericktown Mo Inc
125 W Karsch Blvd, Farmington, MO 63640-2156 · (573) 756-5425