| 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 |