Organization
UNION ASSOCIATED PHYSICIANS CLINIC LLC
Active
Organization
UNION ASSOCIATED PHYSICIANS CLINIC LLC
Active
Other names
UAP Clinic Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL P FOUTY (CHIEF FINANCIAL OFFICER)
(812) 242-3855
Entity
Organization
Contact information
Practice address
221 S 6TH ST, TERRE HAUTE, IN 47807-4214
(812) 242-3855
(812) 242-3428
Mailing address
221 S 6TH ST, TERRE HAUTE, IN 47807-4214
(812) 242-3855
(812) 242-3428
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
60004948A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100302230A
—
IN
01
—
1514226
NCPDP
IN
Enumeration date
09/08/2006
Last updated
05/04/2010
Update your record
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