Healthcare Provider Details

I. General information

NPI: 1891807723
Provider Name (Legal Business Name): UNIVERSITY PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 06/24/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 UNIVERSITY BLVD STE 108
JUPITER FL
33458-2773
US

IV. Provider business mailing address

4925 PACIFICO CT
PALM BEACH GARDENS FL
33418-8995
US

V. Phone/Fax

Practice location:
  • Phone: 561-622-4088
  • Fax: 561-622-9388
Mailing address:
  • Phone: 561-801-2615
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPH22187
License Number StateFL

VIII. Authorized Official

Name: JOHN BARRON
Title or Position: OWNER PHARMACIST
Credential: RPH
Phone: 561-622-4088