Organization
UCH PHARMACEUTICAL SERVICES INC
Active
Other names
Medicap Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. URBIN GUTHRIE HARVEY R.PH. (PHARMACY OWNER)
(765) 664-6100
Entity
Organization
Contact information
Practice address
715 S BALDWIN AVE, MARION, IN 46953-1375
(765) 664-6100
(765) 664-7882
Mailing address
715 S BALDWIN AVE, MARION, IN 46953-1375
(765) 664-6100
(765) 664-7882
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
60004464A
IN
3336C0003X
Community/Retail Pharmacy
Primary
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100466610A
—
IN
01
—
1531513
NCPDP #
IN
Enumeration date
06/08/2005
Last updated
03/07/2023
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