NPI

La Plata Pharmacy Llc

This page is a copy of the public NPPES file.

Facts

Status
Active
Type
Organization
Enumeration date
2018-02-12
Last updated
2018-04-20

Specialties

Licenses

License MO
2018004056

Location

Practice location
221 N Macon St
City
Bevier MO
Postal code
63532-1058
Phone
(660) 346-0449

Organization contact

Name
JAMIE PROKUP
Title
Owner
Phone
6603460449

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.

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Nearby

Other NPIs in Bevier, MO. 8 records in the public file.

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