Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

State of Missouri

Organization Long Term Care Pharmacy · NPI 1750420188

State of Missouri is a Long Term Care Pharmacy in Saint Joseph, Missouri. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

3505 Frederick Ave
Saint Joseph, MO 64506-2914
Phone: (816) 387-2564
Fax: (816) 387-2391
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Long Term Care Pharmacy (primary) Taxonomy 3336L0003X

Record details

NPI number1750420188
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationState of Missouri
Authorized official Molly Boeckmann — Director Of Administrative Services · (573) 751-4055
Other names Northwest Mo Prc Pharmacy; Northwest Mo Prc Pharmacy
NPI enumeratedFebruary 5, 2007
Last updated in NPPESSeptember 3, 2020
Certification dateSeptember 3, 2020
Mailing address1706 E Elm St, Jefferson City, MO 65101-4130

Other providers in Saint Joseph