Missouri Ltc Pharmacy Llc
Long Term Care Pharmacy
1617 Manufacturers Dr, Fenton
Missouri, 63026-2838
314-690-4500 314-690-4502
Missouri Ltc Pharmacy Llc is not a DME supplier for medicare equipments and products.
Missouri Ltc Pharmacy Llc is a Long Term Care Pharmacy in Fenton, Missouri. It is located at 1617 Manufacturers Dr, Fenton and it's customer support contact number is 314-690-4500. The authorized person of Missouri Ltc Pharmacy Llc is Janice Ceriotti who is Chief Operating Officer of the pharmacy and his contact number is 314-690-4500.
Missouri Ltc Pharmacy Llc is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
Pharmacy Details:
Missouri Ltc Pharmacy Llc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Missouri Ltc Pharmacy Llc |
| Type: | Long Term Care Pharmacy |
| Location: | 1617 Manufacturers Dr, Fenton, Missouri, 63026-2838 |
| Phone: | 314-690-4500 |
| Fax: | 314-690-4502 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Janice Ceriotti |
| Position: | Chief Operating Officer |
| Contact Number: | 314-690-4500 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1134668445 |
| NPI Enumeration Date: | 20 Feb, 2017 |
| NPI Last Update On: | 03 Sep, 2024 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Missouri Ltc Pharmacy Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Long Term Care Pharmacy | | | Primary | |
| Pharmacy | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 2167982 | Other | | Pk |
| 314944407 | Medicaid | Arkansas | |
| 600043834 | Medicaid | Missouri | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1617 Manufacturers Dr, Fenton, Missouri |
| Zip: | 63026-2838 |
| Phone Number: | 314-690-4500 |
| Fax Number: | 314-690-4502 |
Patients can reach Missouri Ltc Pharmacy Llc at
1617 Manufacturers Dr, Fenton, Missouri or can
call on customer care at 314-690-4500.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.