Organization · Type 2 NPI

Professional Park Pharmacy Inc

Community/Retail Pharmacy · St. George, UT

NPI number 1891770715 Active

Practice location

736 S 900 E Ste 102
St. George, UT 84790-7001

Fax (435) 652-3059

Specialties and licenses

Taxonomy	Code	License
Pharmacy	333600000X	None listed
Community/Retail Pharmacy Primary	3336C0003X	3506771703 (UT)

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 …

4 other providers at this address

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NPI record

NPI: 1891770715
Entity type: Organization (Type 2)
Issued: Dec 13, 2005
Last updated: Nov 15, 2022
Status: Active

Other names

<unavail>
Professional Park · doing business as
Professional Park · doing business as
Professional Park Pharmacy Inc · doing business as

Authorized official

R Brad Anderson
President
(435) 652-1548

Verify this record

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 1891770715

Professional Park Pharmacy Inc's National Provider Identifier is 1891770715, issued on Dec 13, 2005. 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 Nov 15, 2022.