Organization
UGC-2, LLC
Active
Other names
Uptown Grocery Co Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
LINCY FENG (CHIEF FINANCIAL OFFICER)
(405) 302-6282
Entity
Organization
Contact information
Practice address
9515 N MAY AVE, THE VILLAGE, OK 73120-2709
(405) 286-9932
(405) 286-9832
Mailing address
2740 FEATHERSTONE RD, OKLAHOMA CITY, OK 73120-2122
(405) 302-6273
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
1-7446
OK
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2154476
PK
—
Enumeration date
10/06/2015
Last updated
09/17/2019
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