Provider Demographics
NPI:1497053532
Name:UKOS DENNY INC
Entity Type:Organization
Organization Name:UKOS DENNY INC
Other - Org Name:BETTER WAY PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACIST IN CHARGE
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:UKOSHOVBERA
Authorized Official - Last Name:GBENEDIO
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:770-944-3331
Mailing Address - Street 1:6094 MABLETON PKWY SW
Mailing Address - Street 2:
Mailing Address - City:MABLETON
Mailing Address - State:GA
Mailing Address - Zip Code:30126-3463
Mailing Address - Country:US
Mailing Address - Phone:770-944-3331
Mailing Address - Fax:
Practice Address - Street 1:6094 MABLETON PKWY SW
Practice Address - Street 2:
Practice Address - City:MABLETON
Practice Address - State:GA
Practice Address - Zip Code:30126-3463
Practice Address - Country:US
Practice Address - Phone:770-944-3331
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:UKOS DENNY INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-03-13
Last Update Date:2011-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPHRE0097343336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAPHRE009734OtherPHARMACY