Healthcare Provider Details

I. General information

NPI: 1619680030
Provider Name (Legal Business Name): BRIGITTA TOLNAY PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/30/2022
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

849 STONERIDGE PKWY
JEFFERSON CITY MO
65109-5034
US

IV. Provider business mailing address

849 STONERIDGE PKWY
JEFFERSON CITY MO
65109-5034
US

V. Phone/Fax

Practice location:
  • Phone: 573-469-0906
  • Fax: 573-447-6721
Mailing address:
  • Phone: 573-469-0906
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number2022027685
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: