Organization
TOP NOTCH PHARMACIES LLC
Active
Other names
Prater's Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
KOBY PRATER (MANAGING MEMBER)
(417) 592-7381
Entity
Organization
Contact information
Practice address
1412 HIGH ST, SARCOXIE, MO 64862
(417) 548-7184
(417) 548-7404
Mailing address
PO BOX 625, SARCOXIE, MO 64862-0625
(417) 548-7184
(417) 548-7404
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
2015029947
MO
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2153702
PK
—
05
—
603755307
—
MO
Enumeration date
07/16/2015
Last updated
03/13/2020
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