1023270618 NPI number — UNION PHARMACY SOLUTIONS, INC.

Table of content: (NPI 1023270618)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1023270618 NPI number — UNION PHARMACY SOLUTIONS, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
UNION PHARMACY SOLUTIONS, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1023270618
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/07/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
342 BONNIE CIR
Provider Second Line Business Mailing Address:
SUITE C
Provider Business Mailing Address City Name:
CORONA
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
92880-6974
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
951-279-2873
Provider Business Mailing Address Fax Number:
951-279-2839

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
342 BONNIE CIR
Provider Second Line Business Practice Location Address:
SUITE C
Provider Business Practice Location Address City Name:
CORONA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92880-6974
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
951-279-2873
Provider Business Practice Location Address Fax Number:
951-279-2839
Provider Enumeration Date:
06/26/2008

Additional Information

Authorized Official

Authorized Official Last Name:
DESAI
Authorized Official First Name:
SUMIT
Authorized Official Middle Name:
Authorized Official Title or Position:
PHARMACIST/TREASURER
Authorized Official Telephone Number:
951-279-2873

Provider Taxonomy Codes

  • Taxonomy code: 332B00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 3336C0003X , with the licence number: PHY49007 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: PHY49007 . This is a "STATE LICENSE #" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com