MEDICARE: UNITED PHARMACY SERVICES, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336M0002X	Mail Order Pharmacy	054.009881	IL

General Provider Information

NPI Number	:	1043484009
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNITED PHARMACY SERVICES, INC.

Provider Business Mailing Address
First Line	:	5744 W IRVING PARK RD
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60634-3176
Country	:	US
Telephone Number	:	847-677-5300
Fax Number	:	847-677-5390

Provider Business Practice Location Address
First Line	:	5744 W IRVING PARK RD
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60634-3176
Country	:	US
Telephone Number	:	847-677-5300
Fax Number	:	847-677-5390

Authorized Official
Title or Position	:	IT MANAGER
Name	:	MS. ILENE R NEUMAN
Credential	:
Telephone Number	:	847-677-5300

Provider Enumeration Date	:	04/21/2008
Last Update Date	:	09/20/2011

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