Missouri Pharmacist Care Network, LLC

NPI #1528375508 in Jefferson City, Missouri

Provider Information

NPI Number: 1528375508
Entity Type: Organization
Organization Name: Missouri Pharmacist Care Network, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: MISSOURI PHARMACY ASSOCIATION
Primary Specialty: Pharmacist
Enumeration Date: Sep 11, 2010
Last Updated: Sep 11, 2010

Practice Location

Address: 211 E CAPITOL AVE
City: Jefferson City
State: Missouri
ZIP Code: 65101-3001
Phone: (573) 636-7522

Authorized Official

Name: RON FITZWATER, CAE
Title: MANAGER
Phone: (573) 636-7522

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies	332B00000X
Pharmacy	333600000X
Pharmacist	183500000X	Primary

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