Provider Demographics
NPI:1245759992
Name:KLINGER, JOAN MARIE (PHARMD, BCPS)
Entity Type:Individual
Prefix:DR
First Name:JOAN
Middle Name:MARIE
Last Name:KLINGER
Suffix:
Gender:F
Credentials:PHARMD, BCPS
Other - Prefix:DR
Other - First Name:JO
Other - Middle Name:M
Other - Last Name:KLINGER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHARMD, BCPS
Mailing Address - Street 1:1 HOSPITAL DR # DC060.00
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MO
Mailing Address - Zip Code:65212-1000
Mailing Address - Country:US
Mailing Address - Phone:573-289-3420
Mailing Address - Fax:
Practice Address - Street 1:1 HOSPITAL DR RM T2000
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MO
Practice Address - Zip Code:65212-1000
Practice Address - Country:US
Practice Address - Phone:573-884-6139
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-13
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20110265861835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy