Organization Name: | PYRAMID PHARMACY,LLC |
NPI Number: | 1811205271 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KIMBERLY ANN ROBERTS (PHARMACIST IN CHARGE) |
Mailing Address: | 3501 W Truman Blvd Suite H Jefferson City |
State: | MO US |
Postal Code: | 651095715 |
Phone Number: | 5735565551 |
Fax Number: | 5735565552 |
NPI Enumeration Date: | 09/20/2010 |
NPI Last Update Date: | 08/29/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 2010035928 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MO |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |