| NPI | 1831171941 |
|---|---|
| Doing Business As | FAMILY PLAZA PHARMACY |
| Entity Type | Organization |
| Authorized Contact | SHANE JENSEN Owner 801-569-0175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: UT 6732558-1703) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2005-11-15 |
| Last Update Date | 2016-08-12 |