Provider Demographics
NPI:1407885957
Name:MCKNIGHT, MICHAEL E (BSPHARM)
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:E
Last Name:MCKNIGHT
Suffix:
Gender:M
Credentials:BSPHARM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:303 FIELD RD
Mailing Address - Street 2:
Mailing Address - City:POWERSITE
Mailing Address - State:MO
Mailing Address - Zip Code:65731-3145
Mailing Address - Country:US
Mailing Address - Phone:417-335-1403
Mailing Address - Fax:417-337-7759
Practice Address - Street 1:303 FIELD RD
Practice Address - Street 2:
Practice Address - City:POWERSITE
Practice Address - State:MO
Practice Address - Zip Code:65731-3145
Practice Address - Country:US
Practice Address - Phone:417-335-1403
Practice Address - Fax:417-337-7759
Is Sole Proprietor?:No
Enumeration Date:2006-06-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO043074183500000X, 1835P1200X, 1835P1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered183500000XPharmacy Service ProvidersPharmacist
Not Answered1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy
Not Answered1835P1300XPharmacy Service ProvidersPharmacistPsychiatric