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NPI Code Detail

MEDICARE: UNIQUE CARE PHARMACY INC

MEDICARE: UNIQUE CARE PHARMACY 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
1332B00000XDurable Medical Equipment & Medical Supplies
2333600000XPharmacy
33336C0003XCommunity/Retail PharmacyPH02585NV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12123697OTHERPK
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1962730168
Entity Type Code : Organization
Provider Name (Legal Business Name) : UNIQUE CARE PHARMACY INC
Provider Business Mailing Address
First Line : 4571 W FLAMINGO RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89103-3702
Country : US
Telephone Number : 702-522-9777
Fax Number : 702-522-9779
Provider Business Practice Location Address
First Line : 4571 W FLAMINGO RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89103-3702
Country : US
Telephone Number : 702-522-9777
Fax Number : 702-522-9779
Authorized Official
Title or Position : PRESIDENT/CEO
Name : CHIDI ONYIRIMBA
Credential :
Telephone Number : 702-525-3297
Provider Enumeration Date : 11/27/2009
Last Update Date : 11/24/2021

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Directions to “UNIQUE CARE PHARMACY INC ” Practice Location

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