Healthcare Provider Details

I. General information

NPI: 1316931546
Provider Name (Legal Business Name): CURATORS OF THE UNIVERSITY OF MISSOURI
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/02/2005
Last Update Date: 06/29/2023
Certification Date: 06/29/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 HOSPITAL DR PT 2000
COLUMBIA MO
65212
US

IV. Provider business mailing address

PO BOX 843310
KANSAS CITY MO
64184-3310
US

V. Phone/Fax

Practice location:
  • Phone: 573-882-8890
  • Fax: 573-884-5280
Mailing address:
  • Phone: 573-882-8890
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPS005856
License Number StateMO

VIII. Authorized Official

Name: FREDERIC A. RANSOM
Title or Position: CEO
Credential:
Phone: 573-884-0054