NPI | 1649308933 |
---|---|
Doing Business As | PLAZA WEST PHARMACY |
Entity Type | Organization |
Authorized Contact | JOHN D KNORP Owner 660-221-2735 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MO 005611) |
Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator |
261QM2500X Clinic/Center, Medical Specialty | |
3336L0003X Pharmacy, Long Term Care Pharmacy | |
Enumeration Date | 2007-03-01 |
Last Update Date | 2022-01-21 |