Healthcare Provider Details

I. General information

NPI: 1699374629
Provider Name (Legal Business Name): CURATORS OF THE UNIVERSITY OF MISSOURI
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/21/2020
Last Update Date: 04/08/2025
Certification Date: 04/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7115 EAST ST. CHARLES ROAD
COLUMBIA MO
65202
US

IV. Provider business mailing address

ONE HOSPITAL DRIVE DC060.00
COLUMBIA MO
65212-0001
US

V. Phone/Fax

Practice location:
  • Phone: 573-884-5457
  • Fax:
Mailing address:
  • Phone: 573-882-8700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State

VIII. Authorized Official

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