Organization
UNITED COMMUNITY PHARMACY CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID YESILEVSKIY (DIRECTOR OF OPERATIONS)
(612) 259-8275
Entity
Organization
Contact information
Practice address
2500 HIGHWAY 88 STE 105, ST ANTHONY, MN 55418-4138
(612) 259-8275
(612) 259-8286
Mailing address
2500 HIGHWAY 88 STE 105, ST ANTHONY, MN 55418-4138
(612) 259-8275
(612) 259-8286
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
715415000
—
MN
Enumeration date
03/07/2020
Last updated
03/07/2020
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