Organization
UNITED COMMUNITY PHARMACY CORPORATION
Active
Other names
United Community Pharmacy Corporation
Organization subpart
No
Provider details
NPI number
Authorized official
MARK OLSHANSKY (CEO)
(612) 990-5246
Entity
Organization
Contact information
Practice address
2500 NEW BRIGHTON BLVD., SUITE 105, SAINT ANTHONY, MN 55418
(612) 259-8275
(612) 259-8286
Mailing address
800 BOONE AVE N, SUITE 200, GOLDEN VALLEY, MN 55427-4468
(763) 417-8888
(763) 417-9999
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
263509
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2125382
PK
—
05
—
715415000
—
MN
Enumeration date
06/09/2010
Last updated
03/07/2020
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