Provider Demographics
NPI:1053322628
Name:UNION FAMILY PHARMACY LLC
Entity Type:Organization
Organization Name:UNION FAMILY PHARMACY LLC
Other - Org Name:UNION FAMILY PHARMACY LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PIC
Authorized Official - Prefix:
Authorized Official - First Name:CAREY
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAPMAN
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:864-427-3700
Mailing Address - Street 1:528A RICE AVE
Mailing Address - Street 2:
Mailing Address - City:UNION
Mailing Address - State:SC
Mailing Address - Zip Code:29379-1839
Mailing Address - Country:US
Mailing Address - Phone:864-427-3700
Mailing Address - Fax:864-427-3900
Practice Address - Street 1:528A RICE AVE
Practice Address - Street 2:
Practice Address - City:UNION
Practice Address - State:SC
Practice Address - Zip Code:29379-1839
Practice Address - Country:US
Practice Address - Phone:864-427-3700
Practice Address - Fax:864-427-3900
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-10
Last Update Date:2014-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
SC74263336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
4225101OtherNCPDP PROVIDER IDENTIFICATION NUMBER
SC774265Medicaid