# PROFESSIONAL PARK PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PROFESSIONAL PARK PHARMACY TWO
- **Other names:** Professional Park Pharmacy Two
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1780288571
- **Legal business name:** PROFESSIONAL PARK PHARMACY TWO
- **Authorized official:** ROBERT BRAD ANDERSON RPH (PRESIDENT/PHARMACIST)
- **Authorized official phone:** (435) 652-1548

## Contact information

- **Practice address:** 2825 EAST MALL DRIVE, ST GEORGE, UT 84790-8479
- **Practice address phone:** (435) 429-6700
- **Practice address fax:** (435) 652-3059
- **Mailing address:** 2825 E MALL DR, ST GEORGE, UT 84790-1954
- **Mailing address phone:** (435) 429-6700

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 11/23/2020
- **Last updated:** 03/24/2022