Organization
B P & W INC
Active
Other names
PRATER'S PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
KOBY PRATER PHARM.D. (PRESIDENT)
(417) 776-8701
Entity
Organization
Contact information
Practice address
1711 CHEROKEE AVE, SENECA, MO 64865-8681
(417) 776-8701
(417) 776-3974
Mailing address
PO BOX 280, SENECA, MO 64865-0280
(417) 776-8701
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
004976
MO
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100231940A
—
OK
01
—
2049892
PK
—
05
—
601091408
—
MO
Enumeration date
05/27/2005
Last updated
09/19/2025
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