Organization
PLEASANT HILL DRUG STORE INC
Active
Other names
PLEASANT HILL DRUG STORE
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN DEFEVER RPH (PHARMACIST/PRESIDENT)
(913) 515-0462
Entity
Organization
Contact information
Practice address
1905 N STATE ROUTE 7, PLEASANT HILL, MO 64080-9366
(816) 540-4000
(816) 540-4341
Mailing address
1905 N 7 HWY, PLEASANT HILL, MO 64080-9366
(816) 540-4000
(816) 540-4341
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
2002009963
MO
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2048807
PK
—
05
—
608237806
—
MO
05
—
628237802
—
MO
Enumeration date
10/18/2005
Last updated
04/12/2016
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