| NPI | 1891770715 |
|---|---|
| Doing Business As | PROFESSIONAL PARK PHARMACY INC |
| Doing Business As | PROFESSIONAL PARK |
| Entity Type | Organization |
| Authorized Contact | R BRAD ANDERSON President 435-652-1548 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: UT 3506771703) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2005-12-13 |
| Last Update Date | 2022-11-15 |