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General NPI Number Information
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NPI Number | 1023012044
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Entity Type | Organization
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Legal Business Name | UCH PHARMACEUTICAL SERVICES INC
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Dates
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Enumeration Date | 06/08/2005
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 715 S BALDWIN AVE
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City | MARION
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State | IN
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Zip | 46953-1375
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Country | US
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Telephone | 765-664-6100
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Fax | 765-664-7882
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Provider Business Mailing Address
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Address Line | 715 S BALDWIN AVE
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City | MARION
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State | IN
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Zip | 46953-1375
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Country | US
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Telephone | 765-664-6100
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Fax | 765-664-7882
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Authorized Official
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Title or Position | PHARMACY OWNER
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Name | MR. URBIN GUTHRIE HARVEY
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Credential | R.PH.
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Telephone | 765-664-6100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 60004464A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State | IN
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