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Professional Plaza Pharmacy Inc
Prosthetic/Orthotic Supplier in Desoto, Texas
NPI 1295888394

Professional Plaza Pharmacy Inc is a Prosthetic/Orthotic Supplier based in Desoto, TX. Professional Plaza Pharmacy Inc practices in Desoto, TX. The NPI Number for Professional Plaza Pharmacy Inc is 1295888394 and holds a License No. 1313330001 (Texas).

The current practice location address for Professional Plaza Pharmacy Inc is 1005 York Dr, Desoto, TX and can be reached out via phone at 972-572-1939 and via fax at 972-572-9990.

Location: 1005 York Dr, Desoto, TX, 75115-2083
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1295888394
Provider Name
Professional Plaza Pharmacy Inc
Credential
Provider Entity Type
Organization
Address
1005 York Dr, Desoto, TX, 75115-2083
Phone Number
972-572-1939
Fax Number
972-572-9990
Provider Enumeration Date
01/19/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
011191602 05 TX
144861 05 TX
4509165 01 TX NABP
011191601 05 TX
institution
Provider Business Practice Location Address Details
Address
1005 York Dr
City
Desoto
State
Texas
Zip
75115-2083
Phone Number
972-572-1939
Fax Number
972-572-9990
person
Provider Business Mailing Address Details
Address
1005 York Dr
City
Desoto
State
Texas
Zip
75115-2083
Phone Number
972-572-1939
Fax Number
972-572-9990
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
19614 (Texas)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
19614 (Texas)
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 process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
1313330001 (Texas)
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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