Professional Plaza Pharmacy Inc is a Prosthetic & Orthotic Supplier (Prosthetic & Orthotic Supplier) in Desoto, Texas. It is situated at 1005 York Dr, Suite 105, Desoto and its contact number is 972-572-1939. The authorized person of Professional Plaza Pharmacy Inc is Dr. Michael Adetula
who is Chief Pharmacist of the store and his/her contact number is 972-572-1939. Primary license number for Professional Plaza Pharmacy Inc is 19614 in Texas. Professional Plaza Pharmacy Inc is 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.
Complete Center Profile:
Professional Plaza Pharmacy Inc Center speciality, address, contact phone number and fax are as below.
Patients can directly walkin to the Prosthetic/Orthotic center or can call on the below given phone number for appointment.
1005 York Dr, Suite 105, Desoto, Texas, 75115-2083
Phone:
972-572-1939
Fax:
972-572-9990
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this store are as below. Person's position and contact details are also mentioned below.
Name:
Dr. Michael Adetula
Position:
Chief Pharmacist
Contact Number:
972-572-1939
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Professional Plaza Pharmacy Inc center are as mentioned below.
NPI Number:
1295888394
NPI Enumeration Date:
19 Jan, 2007
NPI Last Update On:
17 Jun, 2008
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Professional Plaza Pharmacy Inc are as mentioned below.
Specialization
License Number
State
Status
19614
Texas
Primary
1313330001
Texas
Secondary
19614
Texas
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
011191602
Medicaid
Texas
144861
Medicaid
Texas
4509165
Other
Texas
Nabp
011191601
Medicaid
Texas
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Professional Plaza Pharmacy Inc 1005 York Dr, Suite 105 Desoto, Texas
Zip:
75115-2083
Phone Number:
972-572-1939
Fax Number:
972-572-9990
Patients can reach Professional Plaza Pharmacy Inc at 1005 York Dr, Suite 105, Desoto, Texas or can call to book an appointment on 972-572-1939. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.
Comments/ Reviews:
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