Provider Demographics
NPI:1609150564
Name:PLATOU, STEVE C (RPH)
Entity Type:Individual
Prefix:
First Name:STEVE
Middle Name:C
Last Name:PLATOU
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 965
Mailing Address - Street 2:2132 SKYLINE VIEW LN
Mailing Address - City:NIXA
Mailing Address - State:MO
Mailing Address - Zip Code:65714-0965
Mailing Address - Country:US
Mailing Address - Phone:417-725-2139
Mailing Address - Fax:
Practice Address - Street 1:2159 S. CAMPBELL AVE
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65807
Practice Address - Country:US
Practice Address - Phone:417-890-7924
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-10
Last Update Date:2011-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO412611835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy