United Community Pharmacy Corporation

LBN: United Community Pharmacy Corporation
United Community Pharmacy Corporation is an health care organization with primary practice located at 2500 Highway 88 Ste 105 , St Anthony MN 55418-4138. The organization recently has only one registered license in Suppliers / Long Term Care Pharmacy, which is considered as the primary health care specialty. United Community Pharmacy Corporation can be contacted via phone (612) 259-8275, or through Yesilevskiy, David via phone (612) 259-8275.

Contact Information

Primary practice address
2500 Highway 88 Ste 105 St Anthony MN 55418-4138
Phone: (612) 259-8275
Fax: (612) 259-8286
Website:
Map and Directions
Authorized official contact:
Name: Yesilevskiy, David
Phone: (612) 259-8275

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1962037242
LBN Legal business name United Community Pharmacy Corporation
DBA Doing business as
Authorized official Yesilevskiy, David
Entity Organization
Organization subpart 1 No
Enumeration date Mar 7th, 2020
Last updated Mar 7th, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962037242 NPPES
Minnesota MEDICAID 715415000

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