Provider Demographics
NPI:1912087883
Name:PLAS, TWILA F (RPH)
Entity Type:Individual
Prefix:
First Name:TWILA
Middle Name:F
Last Name:PLAS
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50475 BARES RUN RD
Mailing Address - Street 2:BOX 91
Mailing Address - City:HANNIBAL
Mailing Address - State:OH
Mailing Address - Zip Code:43931-0091
Mailing Address - Country:US
Mailing Address - Phone:740-483-2371
Mailing Address - Fax:
Practice Address - Street 1:50475 BARES RUN RD
Practice Address - Street 2:BOX 91
Practice Address - City:HANNIBAL
Practice Address - State:OH
Practice Address - Zip Code:43931-0091
Practice Address - Country:US
Practice Address - Phone:740-483-2371
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03-3-14209183500000X
WVRP0003959183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist