Organization
PLAZA WEST PHARMACY, INC
Active
Other names
Plaza West Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN D KNORP RPH. (OWNER)
(660) 221-2735
Entity
Organization
Contact information
Practice address
3330 W 10TH ST, SEDALIA, MO 65301-2111
(660) 827-0000
(660) 826-3525
Mailing address
3330 W 10TH ST, SEDALIA, MO 65301-2111
(660) 827-0000
(660) 826-3525
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
3336C0003X
Community/Retail Pharmacy
Primary
005611
MO
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
606843803
—
MO
Enumeration date
03/01/2007
Last updated
01/21/2022
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