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General NPI Number Information
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NPI Number | 1043484009
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Entity Type | Organization
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Legal Business Name | UNITED PHARMACY SERVICES, INC.
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Dates
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Enumeration Date | 04/21/2008
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Last Update Date | 09/20/2011
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Provider Practice Location Address
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Address Line | 5744 W IRVING PARK RD
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City | CHICAGO
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State | IL
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Zip | 60634-3176
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Country | US
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Telephone | 847-677-5300
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Fax | 847-677-5390
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Provider Business Mailing Address
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Address Line | 5744 W IRVING PARK RD
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City | CHICAGO
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State | IL
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Zip | 60634-3176
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Country | US
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Telephone | 847-677-5300
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Fax | 847-677-5390
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Authorized Official
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Title or Position | IT MANAGER
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Name | MS. ILENE R NEUMAN
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Credential |
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Telephone | 847-677-5300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336M0002X
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Taxonomy Name | Mail Order Pharmacy
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License Number | 054.009881
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License Number State | IL
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