Healthcare Provider Details

I. General information

NPI: 1316288855
Provider Name (Legal Business Name): DAVID PAUL KLAHS PHARM.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/07/2013
Last Update Date: 04/05/2023
Certification Date: 04/05/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

307 N MAIN ST
WINDSOR MO
65360-1449
US

IV. Provider business mailing address

307 N MAIN ST
WINDSOR MO
65360-1449
US

V. Phone/Fax

Practice location:
  • Phone: 660-647-2182
  • Fax:
Mailing address:
  • Phone: 660-647-2182
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1300X
TaxonomyPsychiatric Pharmacist
License Number2007014736
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: