Healthcare Provider Details
I. General information
NPI: 1336554575
Provider Name (Legal Business Name): UNIVERSAL PHARMACY SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/26/2014
Last Update Date: 06/19/2025
Certification Date: 06/19/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
601 NEW CASTLE AVE
WILMINGTON DE
19801-5821
US
IV. Provider business mailing address
315 HENDERSON DR
SHARON HILL PA
19079-1034
US
V. Phone/Fax
- Phone: 302-323-1687
- Fax: 302-323-1689
- Phone: 302-323-1687
- Fax: 302-323-1689
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 333600000X |
| Taxonomy | Pharmacy |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3336C0003X |
| Taxonomy | Community/Retail Pharmacy |
| License Number | A3-0000970 |
| License Number State | DE |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 3336M0003X |
| Taxonomy | Managed Care Organization Pharmacy |
| License Number | |
| License Number State | |
| # 5 | |
| Primary Taxonomy | N |
| Taxonomy Code | 3336S0011X |
| Taxonomy | Specialty Pharmacy |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
EMMANUEL
NYARKO
Title or Position: CEO
Credential:
Phone: 302-323-1687