State of Missouri

Long Term Care Pharmacy · Saint Louis, MO

Organization Active NPI

NPI number 1619016862

Practice location

5351 Delmar Blvd
Saint Louis, MO 63112-3146
Phone
(314) 877-0663
Fax
(314) 877-0662

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NPI record

NPI
1619016862
Entity type
Organization (Type 2)
Enumeration date
February 5, 2007
Last updated
October 27, 2020
Certified
October 27, 2020
Organization subpart
Yes
Parent organization
State of Missouri

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Long Term Care Pharmacy Primary 3336L0003X — —

Mailing address

1706 E Elm St
Jefferson City, MO 65101-4130
Phone
(573) 751-3398
Fax
(573) 526-4560

Authorized official

Name
Molly Jane Boeckmann
Title
Director of Administrative Services
Phone
(573) 751-4055

Other names

  • Metropolitan SL PC Pharmcy
  • Metropolitan SL PC Pharmcy

About State of Missouri

State of Missouri is a healthcare organization registered in the NPI registry with the primary taxonomy Long Term Care Pharmacy (code 3336L0003X). The practice location is 5351 Delmar Blvd, Saint Louis, MO 63112-3146. The NPI number 1619016862 was assigned on February 5, 2007 and the record was last updated on October 27, 2020.

The authorized official for this organization is Molly Jane Boeckmann, Director of Administrative Services.

Frequently asked questions

What is the NPI number of State of Missouri?

The NPI number is 1619016862.

What is the phone number of State of Missouri?

The phone number listed for the practice location is (314) 877-0663.

Where is State of Missouri located?

5351 Delmar Blvd, Saint Louis, MO 63112-3146.

What is the taxonomy code for State of Missouri?

The primary taxonomy code is 3336L0003X – Long Term Care Pharmacy.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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