NPI 1831171941 · live from the CMS NPI Registry
Family Plaza Pharmacy INC
Pharmacy, Community/Retail Pharmacy in West Jordan, UT. National Provider Identifier 1831171941, active.
NPI record
| NPI | 1831171941 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy, Community/Retail Pharmacy 3336C0003X |
| Practice location | 3570 W 9000 S, Ste 150, West Jordan, UT 84088 |
| Practice phone | 801-569-0175 |
| Enumerated | November 15, 2005 |
| Last updated | August 12, 2016 |
| Authorized official | Shane Jensen, Owner |
| Other names | Family Plaza Pharmacy |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy | 333600000X | — |
| Pharmacy, Community/Retail Pharmacy primary | 3336C0003X | 6732558-1703 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.