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NPI Code Detail

MEDICARE: UNIVERSAL PHARMACY AND MEDICAL SUPPLIES INC.

MEDICARE: UNIVERSAL PHARMACY AND MEDICAL SUPPLIES 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
13336C0003XCommunity/Retail PharmacyRP440498PA

General Provider Information

NPI Number : 1851824254
Entity Type Code : Organization
Provider Name (Legal Business Name) : UNIVERSAL PHARMACY AND MEDICAL SUPPLIES INC.
Provider Business Mailing Address
First Line : 3908 KENSINGTON AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19124-4400
Country : US
Telephone Number : 215-245-2020
Fax Number : 215-245-2020
Provider Business Practice Location Address
First Line : 3908 KENSINGTON AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19124-4400
Country : US
Telephone Number : 215-245-2020
Fax Number : 215-245-2020
Authorized Official
Title or Position : OWNER, CEO
Name : MR. PERVEZ MOHAMMAD
Credential :
Telephone Number : 407-967-6840
Provider Enumeration Date : 04/04/2017
Last Update Date : 04/04/2017

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Directions to “UNIVERSAL PHARMACY AND MEDICAL SUPPLIES INC. ” Practice Location

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