State Market Insights
By Category
All Pharmacies
1,253
Retail
841
Specialty
60
Hospital
35
LTC
252
MailOrder
23
Wholesale
8
Remote
34
Market Scale
Population
6,154,422
Density (all) /10k
2.04
Density (retail) /10k
1.37
Pharmacy Desert Counties
55
Avg. VigilScale™
59/100
Avg. Enrollment Age
14 yrs
Chain Mix
Solo (1)
268
Small Group (2–9)
202
Mid Chain (10–49)
96
Large Chain (50+)
188
Mega Chain
499
Special Designations
Independent
268
Sterile Compounding
38
Tele-Pharmacy
34
Government Owned
17
Non-Profit
32
Top Chains
WALGREENS
17%
CVS
15%
WALMART
11%
Missouri Pharmacy Landscape
🔒 Browse New Pharmacy Openings in Missouri
Search recently enrolled pharmacies and filter by category
Missouri Board of Pharmacy
State Regulator
Visit official state pharmacy board website
MO PDMP
Official Program Information
Prescription Drug Monitoring Program requirements and information
MO PDMP
Clinical Login
Look up patient prescription history before dispensing controlled substances
MO PDMP
Data Submission Portal
Submit prescription dispensing data to state monitoring database
Quick Facts
Key regulatory requirements and practice standards
Pharmacist-Technician Ratio
State regulations require a pharmacist-to-technician ratio of None (Discretionary) to maintain safe pharmacy operations.
Continuing Education
Pharmacists must complete 30 hrs biennially of continuing education to maintain active licensure.
Technician Requirements
Pharmacy technicians in this state must meet the following requirement: Registration mandatory.
Intern Supervision
Pharmacy intern supervision follows this standard: 1:1.
Remote Pharmacy
Remote pharmacy work and telepharmacy services are governed by these rules: Permitted.
Vaccine Authority
Pharmacist authority to administer vaccines: Protocol-based.
Regulatory Warnings
Compliance requirements and monitoring obligations
Pharmacist in Charge Notification
When a Pharmacist in Charge (PIC) changes, the pharmacy must notify the state board within the following timeframe: Immediately.
Prescription Monitoring Reporting
Prescription Monitoring Program (PMP) reporting requirements: Next business day.
PMP Query Requirements
Before dispensing controlled substances, pharmacists must check the Prescription Monitoring Program: Voluntary.
Board Inspection Focus
State pharmacy board inspections frequently focus on: MO was the last state to implement a statewide PMP (2023)..
Top Cities by Pharmacy Count
Largest pharmacy markets in Missouri
Browse by County
All counties sorted by pharmacy count
St. Louis County
999,703 pop · 187 retail · 1.87 density
Jackson County
715,526 pop · 80 retail · 1.12 density
St. Charles County
406,262 pop · 66 retail · 1.62 density
St. Louis city
298,018 pop · 44 retail · 1.48 density
Greene County
299,188 pop · 50 retail · 1.67 density
Boone County
184,043 pop · 26 retail · 1.41 density
Clay County
253,085 pop · 26 retail · 1.03 density
Jasper County
122,788 pop · 20 retail · 1.63 density
Jefferson CountyPharmacy Desert
226,984 pop · 21 retail · 0.93 density
St. Francois County
66,814 pop · 15 retail · 2.25 density
Cape Girardeau County
81,703 pop · 13 retail · 1.59 density
Franklin County
104,858 pop · 14 retail · 1.34 density
Buchanan County
84,544 pop · 15 retail · 1.77 density
Platte County
107,033 pop · 15 retail · 1.40 density
Cass County
108,205 pop · 15 retail · 1.39 density
Cole County
76,890 pop · 14 retail · 1.82 density
Butler County
42,280 pop · 9 retail · 2.13 density
Camden County
43,227 pop · 10 retail · 2.31 density
Christian County
89,568 pop · 9 retail · 1.00 density
Howell County
39,960 pop · 10 retail · 2.50 density
Taney County
56,202 pop · 11 retail · 1.96 density
Newton County
59,019 pop · 6 retail · 1.02 density
Dunklin County
28,174 pop · 6 retail · 2.13 density
Phelps County
44,843 pop · 6 retail · 1.34 density
Scott County
38,055 pop · 6 retail · 1.58 density
Marion County
28,525 pop · 5 retail · 1.75 density
Pettis County
43,059 pop · 5 retail · 1.16 density
Webster County
39,265 pop · 5 retail · 1.27 density
Johnson CountyPharmacy Desert
54,025 pop · 5 retail · 0.93 density
Lincoln CountyPharmacy Desert
60,172 pop · 5 retail · 0.83 density
Polk County
31,877 pop · 4 retail · 1.25 density
Adair County
25,299 pop · 3 retail · 1.19 density
Livingston County
14,402 pop · 3 retail · 2.08 density
Perry County
18,970 pop · 4 retail · 2.11 density
Pulaski CountyPharmacy Desert
53,726 pop · 3 retail · 0.56 density
Audrain County
24,873 pop · 5 retail · 2.01 density
Barry County
34,701 pop · 4 retail · 1.15 density
Lawrence CountyPharmacy Desert
38,231 pop · 2 retail · 0.52 density
Saline CountyPharmacy Desert
23,219 pop · 2 retail · 0.86 density
Crawford CountyPharmacy Desert
23,023 pop · 1 retail · 0.43 density
Laclede County
36,060 pop · 4 retail · 1.11 density
Miller County
24,855 pop · 3 retail · 1.21 density
Randolph CountyPharmacy Desert
24,652 pop · 2 retail · 0.81 density
Stoddard County
28,656 pop · 4 retail · 1.40 density
Wright County
18,475 pop · 5 retail · 2.71 density
Callaway CountyPharmacy Desert
44,517 pop · 3 retail · 0.67 density
Clinton County
21,155 pop · 4 retail · 1.89 density
Dent County
14,509 pop · 2 retail · 1.38 density
Douglas County
11,803 pop · 2 retail · 1.69 density
Gasconade CountyPharmacy Desert
14,801 pop · 1 retail · 0.68 density
Henry County
22,064 pop · 3 retail · 1.36 density
Iron County
9,538 pop · 3 retail · 3.15 density
Lafayette CountyPharmacy Desert
32,858 pop · 3 retail · 0.91 density
Linn County
11,892 pop · 2 retail · 1.68 density
Morgan CountyPharmacy Desert
21,169 pop · 1 retail · 0.47 density
Ray County
23,122 pop · 3 retail · 1.30 density
Ste. Genevieve County
18,494 pop · 3 retail · 1.62 density
Stone CountyPharmacy Desert
31,314 pop · 2 retail · 0.64 density
Warren CountyPharmacy Desert
35,729 pop · 2 retail · 0.56 density
Bates CountyPharmacy Desert
16,101 pop · 1 retail · 0.62 density
Dallas CountyPharmacy Desert
17,158 pop · 1 retail · 0.58 density
Gentry County
6,219 pop · 2 retail · 3.22 density
McDonald CountyPharmacy Desert
23,381 pop · 2 retail · 0.86 density
Nodaway CountyPharmacy Desert
21,140 pop · 2 retail · 0.95 density
Oregon County
8,783 pop · 2 retail · 2.28 density
Pemiscot County
15,555 pop · 2 retail · 1.29 density
Pike County
17,719 pop · 2 retail · 1.13 density
Washington CountyPharmacy Desert
23,580 pop · 1 retail · 0.42 density
Chariton County
7,417 pop · 2 retail · 2.70 density
Grundy CountyPharmacy Desert
9,878 pop · 0 retail · 0.00 density
Harrison County
8,190 pop · 1 retail · 1.22 density
Macon County
15,173 pop · 2 retail · 1.32 density
Madison CountyPharmacy Desert
12,649 pop · 1 retail · 0.79 density
Maries CountyPharmacy Desert
8,454 pop · 0 retail · 0.00 density
Mercer CountyPharmacy Desert
3,517 pop · 0 retail · 0.00 density
New Madrid CountyPharmacy Desert
16,341 pop · 1 retail · 0.61 density
Ripley CountyPharmacy Desert
10,839 pop · 1 retail · 0.92 density
Shannon CountyPharmacy Desert
7,132 pop · 0 retail · 0.00 density
Shelby County
6,049 pop · 1 retail · 1.65 density
Texas CountyPharmacy Desert
24,828 pop · 2 retail · 0.81 density
Vernon County
19,777 pop · 2 retail · 1.01 density
Wayne CountyPharmacy Desert
11,081 pop · 1 retail · 0.90 density
Andrew CountyPharmacy Desert
18,069 pop · 0 retail · 0.00 density
Atchison CountyPharmacy Desert
5,270 pop · 0 retail · 0.00 density
Barton CountyPharmacy Desert
11,683 pop · 1 retail · 0.86 density
Benton CountyPharmacy Desert
19,616 pop · 1 retail · 0.51 density
Caldwell County
8,876 pop · 1 retail · 1.13 density
Carroll CountyPharmacy Desert
8,513 pop · 0 retail · 0.00 density
Clark CountyPharmacy Desert
6,693 pop · 0 retail · 0.00 density
Cooper CountyPharmacy Desert
16,893 pop · 1 retail · 0.59 density
Dade CountyPharmacy Desert
7,598 pop · 0 retail · 0.00 density
DeKalb CountyPharmacy Desert
11,838 pop · 0 retail · 0.00 density
Hickory County
8,452 pop · 1 retail · 1.18 density
Howard CountyPharmacy Desert
10,142 pop · 0 retail · 0.00 density
Lewis County
9,987 pop · 1 retail · 1.00 density
Mississippi CountyPharmacy Desert
12,305 pop · 0 retail · 0.00 density
Moniteau CountyPharmacy Desert
15,401 pop · 0 retail · 0.00 density
Monroe CountyPharmacy Desert
8,668 pop · 0 retail · 0.00 density
Montgomery CountyPharmacy Desert
11,421 pop · 0 retail · 0.00 density
Osage CountyPharmacy Desert
13,374 pop · 1 retail · 0.75 density
Ozark County
8,688 pop · 1 retail · 1.15 density
Reynolds County
6,102 pop · 1 retail · 1.64 density
Schuyler CountyPharmacy Desert
4,066 pop · 0 retail · 0.00 density
Scotland CountyPharmacy Desert
4,720 pop · 0 retail · 0.00 density
St. Clair CountyPharmacy Desert
9,330 pop · 0 retail · 0.00 density
Sullivan County
5,983 pop · 1 retail · 1.67 density
Worth CountyPharmacy Desert
1,982 pop · 0 retail · 0.00 density
Bollinger CountyPharmacy Desert
10,658 pop · 0 retail · 0.00 density
Carter CountyPharmacy Desert
5,299 pop · 0 retail · 0.00 density
Cedar CountyPharmacy Desert
14,314 pop · 0 retail · 0.00 density
Daviess CountyPharmacy Desert
8,418 pop · 0 retail · 0.00 density
Holt CountyPharmacy Desert
4,274 pop · 0 retail · 0.00 density
Knox CountyPharmacy Desert
3,772 pop · 0 retail · 0.00 density
Putnam CountyPharmacy Desert
4,698 pop · 0 retail · 0.00 density
Ralls CountyPharmacy Desert
10,356 pop · 0 retail · 0.00 density
* Pharmacy Desert: fewer than 1 retail pharmacy per 10,000 residents, based on 2026 NPI and ROPA billing data.