Healthcare Provider Details

I. General information

NPI: 1790796209
Provider Name (Legal Business Name): UNITY HEALTH MEDSCRIPT INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13185 LAKEFRONT DR STE 100
EARTH CITY MO
63045-1510
US

IV. Provider business mailing address

PO BOX 504207
SAINT LOUIS MO
63150-0001
US

V. Phone/Fax

Practice location:
  • Phone: 314-506-6066
  • Fax: 314-506-6067
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number2000175014
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code3336M0002X
TaxonomyMail Order Pharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: DOMINIC CARUSO
Title or Position: DIR OF PHCY OPS
Credential:
Phone: 314-506-6069