| NPI | 1316958804 |
|---|---|
| Doing Business As | PROFESSIONAL PLAZA PHARMACY, INC |
| Entity Type | Organization |
| Authorized Contact | GEORGE HAMBLIN President 801-773-3863 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: UT 1335541703) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2017-10-17 |