Plaza Pharmacy INC
NPI #1295894293 in Pascagoula, Mississippi
Provider Information
- NPI Number
- 1295894293
- Entity Type
- Organization
- Organization Name
- Plaza Pharmacy INC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Dec 6, 2006
- Last Updated
- Aug 9, 2019
Practice Location
- Address
- 4211 HOSPITAL ST
- Address 2
- STE 104
- City
- Pascagoula
- State
- Mississippi
- ZIP Code
- 39581-5320
- Phone
- (228) 762-1940
Authorized Official
- Name
- KENNETH CLARK
- Title
- PRESIDENT
- Phone
- (228) 762-1940
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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