| NPI | 1740823004 |
|---|---|
| Doing Business As | PARK PLAZA PHARMACY LTC |
| Entity Type | Organization |
| Authorized Contact | DAVID PASCHAL Vice President 972-775-1180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2019-10-18 |
| Last Update Date | 2020-07-27 |