Organization
UNIVERSAL MEDICAL SUPPLIERS, INC
Active
Other names
MEDICAL CENTER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL S COLE (OWNER)
(570) 286-6804
Entity
Organization
Contact information
Practice address
326 MARKET ST, SUNBURY, PA 17801
(570) 286-6804
(570) 286-7421
Mailing address
PO BOX 583, SUNBURY, PA 17801-0583
(570) 286-6804
(570) 286-7421
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007728420003
—
PA
05
—
1007728420008
—
PA
01
—
3926714
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
4454502
—
NJ
Enumeration date
02/12/2007
Last updated
04/24/2014
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