Healthcare Provider Details

I. General information

NPI: 1922032903
Provider Name (Legal Business Name): CURATORS OF THE UNIVERSITY OF MISSOURI
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2006
Last Update Date: 04/08/2025
Certification Date: 04/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 KIDWELL DR
VERSAILLES MO
65084
US

IV. Provider business mailing address

901 KIDWELL DR
VERSAILLES MO
65084
US

V. Phone/Fax

Practice location:
  • Phone: 573-378-4661
  • Fax: 573-378-5053
Mailing address:
  • Phone: 573-378-4661
  • Fax: 573-378-5053

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number003197
License Number StateMO

VIII. Authorized Official

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