Professional Plaza Pharmacy Inc in Desoto - Community/retail Pharmacy

Professional Plaza Pharmacy Inc - NPI 1295888394

Professional Plaza Pharmacy Inc is a Community/retail Pharmacy in Desoto, Texas. Professional Plaza Pharmacy Inc practices all healthcare services and medical treatments related to Community/retail Pharmacy. The NPI Number for Professional Plaza Pharmacy Inc is 1295888394. The last update date is 2008-06-17.

Professional Plaza Pharmacy Inc's current location address is 1005 York Dr, Desoto, Texas. You can contact this provider via phone number 9725721939 and fax number 9725729990. The mailing address for Professional Plaza Pharmacy Inc is 1005 York Dr, Desoto, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Organization Professional Plaza Pharmacy Inc
Address 1005 York Dr, Desoto, Texas
Phone Number 9725721939
Fax Number 9725729990
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CHIEF PHAR
Authorized Official Name Adetula Michael
Credentials RPH, PHD
Telephone Number 9725721939

NPI Number Detail

NPI Number 1295888394
Provider Enumeration Date 2007-01-19
Last Updated Date 2008-06-17

Provider Mailing Address Detail

Address 1005 York Dr
City Desoto
State Texas (TX)
Post Code 751152083
Phone Number 9725721939
Fax Number 9725729990

Provider's Primary Taxonomy Detail

Speciality Community/retail Pharmacy
Taxonomy 3336C0003X
Licence No 19614
Definition:
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing pr

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
11191602 TX --
144861 TX --
4509165 TX NABP
11191601 TX --

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FAQs about Professional Plaza Pharmacy Inc

What is the unique 10-digit identification code assigned to Professional Plaza Pharmacy Inc by the Centers for Medicare & Medicaid Services?

The Professional Plaza Pharmacy Inc has been issued the NPI (National Provider Identifier) 1295888394, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Professional Plaza Pharmacy Inc's facilities are geographically located?

The facilities of Professional Plaza Pharmacy Inc are physically situated at the following location: 1005 York Dr, Desoto, TX, 751152083.

What is Professional Plaza Pharmacy Inc's specialized field of practice, and what is the corresponding taxonomy classification code?

The Professional Plaza Pharmacy Inc's area of specialization is Community/retail Pharmacy, and the corresponding taxonomy code that categorizes this field of practice is 3336C0003X.

On what date did Professional Plaza Pharmacy Inc receive its 1295888394 assignment from the Centers for Medicare & Medicaid Services?

The Professional Plaza Pharmacy Inc was assigned its 1295888394 on 2007-01-19, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to Professional Plaza Pharmacy Inc most recently updated or revised?

The details related to Professional Plaza Pharmacy Inc, including its address, specialty, and other relevant information, were last updated or revised on 2008-06-17.

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