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Contact Information

PLAZA WEST PHARMACY, INC
3330 W 10TH ST
SEDALIA, MO65301-2111
 Phone: 660-827-0000
 Fax: 660-826-3525
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Diabetes Educator

163WD0400X
 

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
 

Medical Specialty

261QM2500X
Indicates primary specialty

NPI Profile & details for PLAZA WEST PHARMACY, INC

NPI # 1649308933
LBN Legal business name PLAZA WEST PHARMACY, INC
Authorized official JOHN KNORP - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/01/2007
Last updated 01/21/2022 - About 4 years ago
Identifiers
MO License # 005611
MO Medicaid 606843803
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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