| NPI | 1003897356 |
|---|---|
| Doing Business As | MEDICAL PLAZA PHARMACY |
| Entity Type | Organization |
| Authorized Contact | TODD SONDRUP CEO 801-539-0231 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: UT 9120628-1703) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: UT 6075676-1703) |
| Enumeration Date | 2005-11-11 |
| Last Update Date | 2014-10-30 |