Organization
UNITED SPECIALTY PHARMACY INC
Active
Other names
United Specialty Pharmacy Inc
Organization subpart
No
Provider details
NPI number
Authorized official
IRINA PEYSAKHOVICH (PRESIDENT)
(201) 624-0443
Entity
Organization
Contact information
Practice address
55 MEADOWLANDS PKWY, SECAUCUS, NJ 07094-2977
(201) 624-0443
(201) 392-3544
Mailing address
55 MEADOWLANDS PKWY, SECAUCUS, NJ 07094-2977
(201) 624-0443
(201) 392-3544
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
28RS00714900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2153946
PK
—
Enumeration date
08/18/2015
Last updated
03/29/2016
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