Organization
MEDICAL PLAZA PHARMACY, INC.
Active
Other names
Medical Plaza Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TODD SONDRUP R.PH. (CEO)
(801) 539-0231
Entity
Organization
Contact information
Practice address
1060 E 100 S, SUITE L-2, SALT LAKE CITY, UT 84102-1501
(801) 539-0231
(801) 539-0350
Mailing address
1060 E 100 S, SUITE L-2, SALT LAKE CITY, UT 84102-1501
(801) 539-0231
(801) 539-0350
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
6075676-1703
UT
333600000X
Pharmacy
Primary
9120628-1703
UT
Other
Enumeration date
11/11/2005
Last updated
10/30/2014
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