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General NPI Number Information
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NPI Number | 1487456802
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Entity Type | Organization
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Legal Business Name | UNICA PHARMA
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Dates
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Enumeration Date | 03/26/2025
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Last Update Date | 03/26/2025
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Provider Practice Location Address
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Address Line | 112 CAMBRIDGE PLAZA DR
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City | WINSTON SALEM
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State | NC
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Zip | 27104-3649
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Country | US
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Telephone | 336-761-3363
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Fax |
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Provider Business Mailing Address
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Address Line | 112 CAMBRIDGE PLAZA DR
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City | WINSTON SALEM
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State | NC
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Zip | 27104-3649
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | HYTHAM MOUNA
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Credential | RPH
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Telephone | 336-406-6753
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number |
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License Number State |
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