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Organization
UNICARE PHARMACY & SUPPLY INC
Active
Organization
UNICARE PHARMACY & SUPPLY INC
Active
Other names
UNICARE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
LILI GEVORKIAN RPH (CEO)
(626) 793-7771
Entity
Organization
Contact information
Practice address
301 S FAIR OAKS AVE, STE 104, PASADENA, CA 91105-2561
(626) 793-7771
(626) 793-7772
Mailing address
301 S FAIR OAKS AVE, STE 104, PASADENA, CA 91105-2561
(626) 793-7771
(626) 793-7772
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY51250
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2144196
PK
—
Enumeration date
02/07/2014
Last updated
11/09/2022
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