Organization
PROFESSIONAL PLAZA PHARMACY INC
Active
Other names
PROFESSIONAL PLAZA PHARMACY, INC
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE HAMBLIN (PRESIDENT)
(801) 773-3863
Entity
Organization
Contact information
Practice address
2065 N ROBBINS DR, LAYTON, UT 84041-1133
(801) 773-3863
(801) 773-3892
Mailing address
2065 N ROBBINS DR, LAYTON, UT 84041-1133
(801) 773-3863
(801) 773-3892
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
1335541703
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2107760
PK
—
Enumeration date
08/10/2006
Last updated
10/17/2017
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