Organization
LAPLATA PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE PROKUP (PHARMACIST)
(660) 332-4456
Entity
Organization
Contact information
Practice address
29936 JULY RD, LA PLATA, MO 63549-3129
(660) 332-4456
(660) 332-4429
Mailing address
29936 JULY RD, LA PLATA, MO 63549-3129
(660) 332-4456
(660) 332-4429
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PS006088
MO
Other
Enumeration date
01/29/2007
Last updated
01/18/2019
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