Organization
B. P. & W., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KOBY PRATER (PRESIDENT)
(417) 673-4663
Entity
Organization
Contact information
Practice address
101 W DAUGHERTY ST, WEBB CITY, MO 64870-1924
(417) 673-4663
(417) 673-8673
Mailing address
101 W DAUGHERTY ST, WEBB CITY, MO 64870-1924
(417) 673-4663
(417) 673-8673
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
004952
MO
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2047688
PK
—
05
—
600282905
—
MO
Enumeration date
10/12/2006
Last updated
03/13/2020
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