Organization · Type 2 NPI

Professional Park Pharmacy Inc

Community/Retail Pharmacy · St. George, UT

NPI number 1780288571 Active

Practice location

2825 East Mall Drive
St. George, UT 84790-8479

Call (435) 429-6700 Map

Fax (435) 652-3059

Mailing address

2825 E Mall Dr
St. George, UT 84790-1954

Specialties and licenses

Taxonomy	Code	License
Community/Retail Pharmacy Primary	3336C0003X	None listed

Community/Retail Pharmacy: 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 process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other …

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NPI record

NPI: 1780288571
Entity type: Organization (Type 2)
Issued: Nov 23, 2020
Last updated: Mar 24, 2022
Status: Active
Subpart: Yes of Professional Park Pharmacy Two

Other names

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Professional Park Pharmacy Two · doing business as
Professional Park Pharmacy Two · doing business as

Authorized official

Robert Brad Anderson, RPH
President/pharmacist
(435) 652-1548

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1780288571

Professional Park Pharmacy Inc's National Provider Identifier is 1780288571, issued on Nov 23, 2020. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in St. George, UT. The record was last updated on Mar 24, 2022.