| NPI | 1528531837 |
|---|---|
| Former Legal Business Name | PLAZA PHARMACY |
| Entity Type | Organization |
| Authorized Contact | MANOJ R PRASAD CEO 708-763-6700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Enumeration Date | 2019-01-09 |
| Last Update Date | 2023-07-06 |