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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
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