|
Supplier ID
|
20478209
|
|
Globally Unique Supplier Identifier
|
|
Company Name
|
SHELL KNOB PHARMACY LLC
|
|
Supplier Company Name
|
|
Doing Business As (DBA)
|
PLAZA PHARMACY
|
|
Alternative Company Name or Doing Business As (DBA)
|
|
Participation Begin Date
|
2016-05-01
|
|
Participation Begin Date
|
|
Address Line
|
24832 STATE HIGHWAY 39
|
|
Delivery Address Line
|
|
City
|
SHELL KNOB
|
|
Business Address City
|
|
State
|
MO
|
|
Business Address State
|
|
Zip
|
65747-8417
|
|
Business Address Zip
|
|
Phone Number
|
417-858-2200
|
|
Business Phone Number
|
|
Specialities List
|
|
|
Specialities List
|
|
Product Category Name(s)
|
- Epoetin
- Immunosuppressive Drugs
- Infusion Drugs
- Nebulizer Drugs
- Oral Anticancer Drugs
- Oral Antiemetic Drugs
|
|
Category, which supplier's products belong to (wheelchairs, scooters, surgical tools, etc.)
|
|
Latitude
|
36.62571
|
|
Business Practice Latitude
|
|
Longitude
|
-93.62257
|
|
Business Practice Longitude
|
|
Is Contracted For CBA
|
False
|
|
Is Contracted For CBA
|