MEDICARE: UNIK CARE PHARMACY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1124872916
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNIK CARE PHARMACY

Provider Business Mailing Address
First Line	:	6855 PORTOFINO CT
Second Line	:
City	:	RANCHO CUCAMONGA
State	:	CA
Zip	:	91701-8637
Country	:	US
Telephone Number	:	909-804-0073
Fax Number	:	909-804-0074

Provider Business Practice Location Address
First Line	:	4297 N SIERRA WAY STE A
Second Line	:
City	:	SAN BERNARDINO
State	:	CA
Zip	:	92407-3820
Country	:	US
Telephone Number	:	909-804-0073
Fax Number	:	98-040-0749

Authorized Official
Title or Position	:	DIRECTOR
Name	:	DR. JOHN UNIMKE UNDIE
Credential	:	PHARMD
Telephone Number	:	404-849-2014

Provider Enumeration Date	:	04/16/2024
Last Update Date	:	12/10/2025

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Directions to “UNIK CARE PHARMACY ” Practice Location

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