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NPI Code Detail

MEDICARE: UNITED APOTHECARY INC

MEDICARE: UNITED APOTHECARY INC
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
1333600000XPharmacy
23336C0003XCommunity/Retail Pharmacy3828TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12093791OTHERPK
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1679624670
Entity Type Code : Organization
Provider Name (Legal Business Name) : UNITED APOTHECARY INC
Provider Business Mailing Address
First Line : PO BOX 5688
Second Line :
City : OAK RIDGE
State : TN
Zip : 37831-5688
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 830 MAIN ST
Second Line :
City : WARTBURG
State : TN
Zip : 37887-4144
Country : US
Telephone Number : 423-346-7600
Fax Number : 423-346-7598
Authorized Official
Title or Position : MANG
Name : BARBARA HENRY
Credential :
Telephone Number : 423-346-7600
Provider Enumeration Date : 01/16/2007
Last Update Date : 11/19/2013

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Directions to “UNITED APOTHECARY INC ” Practice Location

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