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General NPI Number Information
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NPI Number | 1720185390
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Entity Type | Organization
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Legal Business Name | UNITED PHARMACEUTICAL SERVICES INC.
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Dates
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Enumeration Date | 09/17/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4443 BRETON RD SE STE A
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City | KENTWOOD
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State | MI
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Zip | 49508-8424
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Country | US
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Telephone | 616-281-3519
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Fax | 616-281-4088
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Provider Business Mailing Address
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Address Line | 4443 BRETON RD SE STE A
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City | KENTWOOD
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State | MI
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Zip | 49508-8424
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Country | US
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Telephone | 616-281-3519
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Fax | 616-281-4088
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. PATRICK MICHAEL HAYES
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Credential |
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Telephone | 616-281-3519
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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 | 5301007683
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License Number State | MI
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