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1992871719
MISSOURI CANCER CARE PHARMACY
COLUMBIA, MO
NPI
1992871719
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Entity Type
Organization
Authorized Contact
DEBRA D TESORO
Pharmacy Manager
573-817-8527
Organization Subpart ?
Yes
Primary Taxonomy
333600000X Pharmacy
(Licence: MO 2000151351)
Enumeration Date
2006-11-24
Last Update Date
2010-09-16
Business Address
MISSOURI CANCER CARE PHARMACY
1705 E BROADWAY SUITE 100
COLUMBIA, MO 65201-7166
Phone number: 573-817-8527
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Mailing Address
MISSOURI CANCER CARE PHARMACY
1705 E BROADWAY SUITE 100
COLUMBIA, MO 65201-7166
Phone number: 573-817-8527
Copy
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