STATE OF MISSOURI NPI 1619016862

NPI Information

STATE OF MISSOURI is a long term care pharmacy pharmacy in Saint Louis, MO. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. STATE OF MISSOURI NPI is 1619016862. The provider is registered as an organization entity type.
The provider Is Doing Business As Metropolitan Sl Pc Pharmcy.

The provider's business location address is:

5351 DELMAR BLVD
SAINT LOUIS, MO
ZIP 63112-146
Phone: (314) 877-0663
Fax: (314) 877-0662

The provider's authorized official is Molly Jane Boeckmann .
The authorized official title is Director Of Administrative Services and has the following contact phone number (573) 751-4055.

The enumeration date for this NPI number is 2/5/2007 and was last updated on 10/27/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.