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 |