Organization · Type 2 NPI

Old Town Apothecary, LLC

Pharmacy · Jefferson City, MO

NPI number 1013431675 Active

Practice location

1739 Elm Ct Ste 108
Jefferson City, MO 65101-4303

Specialties and licenses

TaxonomyCodeLicense
Pharmacy Primary 333600000XNone listed

Pharmacy: A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is lo…

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About NPI 1013431675

Old Town Apothecary, LLC's National Provider Identifier is 1013431675, issued on Jul 26, 2017. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Jefferson City, MO. The record was last updated on Jul 26, 2017.