Healthcare Provider Details

I. General information

NPI: 1093893240
Provider Name (Legal Business Name): UNITED PHARMACY GROUP INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/02/2006
Last Update Date: 12/06/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

928 COOK PARKWAY
OCEANA WV
24870-1800
US

IV. Provider business mailing address

PO BOX 1800
OCEANA WV
24870-1800
US

V. Phone/Fax

Practice location:
  • Phone: 304-682-8289
  • Fax: 304-682-4070
Mailing address:
  • Phone: 304-682-8289
  • Fax: 304-682-4070

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MR. PATRICK ALLAN NEBLETT
Title or Position: PHARMACIST IN CHARGE
Credential: RPH
Phone: 304-682-8289