Individual provider · Type 1 NPI

Cole Ryan Petershagen, PharmD

Pharmacist · Jefferson City, MO

NPI number 1700753225 Active

Practice location

2805 W Truman Blvd
Jefferson City, MO 65109-0545

Call (573) 893-2226 Map

Fax (573) 893-5176

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X2025034069 (MO)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1700753225

Cole Ryan Petershagen, PharmD's National Provider Identifier is 1700753225, issued on Oct 20, 2025. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Jefferson City, MO. The record was last updated on Oct 20, 2025.