Healthcare Provider Details

I. General information

NPI: 1538672936
Provider Name (Legal Business Name): OLIVIA LEPPER PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/08/2017
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2505 MISSION DR STE 110
JEFFERSON CITY MO
65109-9508
US

IV. Provider business mailing address

2505 MISSION DR STE 110
JEFFERSON CITY MO
65109-9508
US

V. Phone/Fax

Practice location:
  • Phone: 573-681-3740
  • Fax: 573-681-3607
Mailing address:
  • Phone: 573-681-3740
  • Fax: 573-681-3607

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number2016032029
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: