Provider Demographics
NPI:1306241047
Name:UNITED PHARMACY SERVICES LLC
Entity type:Organization
Organization Name:UNITED PHARMACY SERVICES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MANDEEP
Authorized Official - Middle Name:
Authorized Official - Last Name:GILL
Authorized Official - Suffix:
Authorized Official - Credentials:PRESIDENT
Authorized Official - Phone:484-441-1000
Mailing Address - Street 1:700 E TOWNSHIP LINE RD
Mailing Address - Street 2:SUITE 205
Mailing Address - City:HAVERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19083-5733
Mailing Address - Country:US
Mailing Address - Phone:484-441-1000
Mailing Address - Fax:484-441-1003
Practice Address - Street 1:700 E TOWNSHIP LINE RD
Practice Address - Street 2:SUITE 205
Practice Address - City:HAVERTOWN
Practice Address - State:PA
Practice Address - Zip Code:19083-5733
Practice Address - Country:US
Practice Address - Phone:484-441-1000
Practice Address - Fax:484-441-1003
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-23
Last Update Date:2015-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy