# PARK PLAZA PHARMA INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PARK PLAZA PHARMACY (LTC)
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720818685
- **Authorized official:** AMISH PATEL (PIC/CO-OWNER)
- **Authorized official phone:** (516) 426-8453

## Contact information

- **Practice address:** 1773 UNIVERSITY AVE, BRONX, NY 10453-6961
- **Practice address phone:** (718) 583-5900
- **Practice address fax:** (718) 716-1876
- **Mailing address:** 1773 UNIVERSITY AVE, BRONX, NY 10453-6961
- **Mailing address phone:** (718) 583-5900
- **Mailing address fax:** (718) 716-1876

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 08/06/2024
- **Last updated:** 08/06/2024