Organization
PLAZA PHARMACY, INC
Active
Organization
PLAZA PHARMACY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENIFER MARIRE NEMECHEK (OWNER)
(620) 276-8251
Entity
Organization
Contact information
Practice address
911 N MAIN ST, GARDEN CITY, KS 67846-5400
(620) 276-8251
(620) 275-2804
Mailing address
911 N MAIN ST, GARDEN CITY, KS 67846-5400
(620) 276-8251
(620) 275-2804
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
2-10001
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100439180
—
KS
01
—
1702477
NABP
KS
01
—
4885
BC/BS DME
KS
01
—
50039
BC/BS
KS
Enumeration date
10/05/2006
Last updated
06/10/2022
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