| NPI | 1780288571 |
|---|---|
| Doing Business As | PROFESSIONAL PARK PHARMACY TWO |
| Entity Type | Organization |
| Authorized Contact | ROBERT BRAD ANDERSON President/Pharmacist 435-652-1548 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2020-11-23 |
| Last Update Date | 2022-03-24 |