SearchMissouri183500000X

Jamie Prokup

NPI 1841597358 · on the registry since 2011 · sole proprietor

Practice

Address
29936 July Rd
La Plata, MO 63549
Phone
(660) 332-4456
Organisation at this address
Laplata Pharmacy
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2011-02-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri