Healthcare Provider Details

I. General information

NPI: 1154232452
Provider Name (Legal Business Name): SAVANNA ADELE JAVAUX PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 HOSPITAL DR COLUMBIA MO 65212 UNITED STATES
COLUMBIA MO
65212-0001
US

IV. Provider business mailing address

1 HOSPITAL DR
COLUMBIA MO
65212-1000
US

V. Phone/Fax

Practice location:
  • Phone: 573-884-5011
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number2026033598
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: