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General NPI Number Information
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NPI Number | 1740083641
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Entity Type | Organization
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Legal Business Name | CURATORS OF THE UNIVERSITY OF MISSOURI
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Dates
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Enumeration Date | 03/28/2025
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Last Update Date | 03/28/2025
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Provider Practice Location Address
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Address Line | 1500 SOUTHWEST BLVD STE D
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City | JEFFERSON CITY
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State | MO
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Zip | 65109-2472
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Country | US
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Telephone | 573-632-5290
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Fax | 573-556-6249
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Provider Business Mailing Address
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Address Line | ONE HOSPITAL DRIVE DC060.00
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City | COLUMBIA
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State | MO
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Zip | 65212-0001
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Country | US
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Telephone | 573-882-8700
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | FREDERIC A. RANSOM
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Credential |
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Telephone | 573-884-0054
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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