Provider Demographics
NPI:1962978858
Name:UBC PHARMACY LLC
Entity type:Organization
Organization Name:UBC PHARMACY LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHARMACY DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:855-822-7948
Mailing Address - Street 1:600 EMERSON RD STE 300
Mailing Address - Street 2:
Mailing Address - City:CREVE COEUR
Mailing Address - State:MO
Mailing Address - Zip Code:63141-6762
Mailing Address - Country:US
Mailing Address - Phone:855-822-7948
Mailing Address - Fax:866-750-9260
Practice Address - Street 1:600 EMERSON RD STE 300
Practice Address - Street 2:
Practice Address - City:CREVE COEUR
Practice Address - State:MO
Practice Address - Zip Code:63141-6762
Practice Address - Country:US
Practice Address - Phone:855-822-7948
Practice Address - Fax:866-750-9260
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-17
Last Update Date:2022-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy