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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JAMIE PROKUP

Active Sole Proprietor

JAMIE PROKUP is a Pharmacist healthcare provider located in LA PLATA, Missouri. NPI 1841597358 is currently active in the NPPES registry. Verify at CMS.

Pharmacist · LA PLATA, MO

Registration Details

NPI Number
1841597358
Provider Type
Individual
Gender
Male
NPI Issued
Feb 17, 2011 (15.485743055605 yrs)
Last Updated
Feb 17, 2011
License
042461 (MO)
Sole Proprietor
Yes

Practice Information

Address
29936 JULY RD
LA PLATA, MO, 635493129
Browse MO providers · Browse ZIP 63549
Phone
6603324456
Primary Specialty
Pharmacist
183500000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.