Organization
PLATZ ENTERPRISES INC.
Active
Other names
LTC Hometown Pharmacy, Hometown Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JILLIAN GARRISON CPHT (OPERATIONS SPECIALIST, LICENSING/CO)
(573) 885-0885
Entity
Organization
Contact information
Practice address
1409 N JEFFERSON ST, CARROLLTON, MO 64633-1945
(660) 542-2020
(660) 542-2025
Mailing address
PO BOX 528, CUBA, MO 65453-0528
(573) 885-0885
(573) 677-0567
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
002190
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2162061
PK
—
05
—
600122303
—
MO
Enumeration date
07/20/2016
Last updated
08/08/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us