Provider Demographics
NPI:1497383939
Name:UNITY EXPRESS PHARMACY, INC.
Entity Type:Organization
Organization Name:UNITY EXPRESS PHARMACY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER-OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:VICTORIA
Authorized Official - Middle Name:D
Authorized Official - Last Name:ZEIGLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-600-8880
Mailing Address - Street 1:2340 STATE ROAD 580 STE G
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33763-1137
Mailing Address - Country:US
Mailing Address - Phone:727-600-8880
Mailing Address - Fax:727-255-6167
Practice Address - Street 1:2340 STATE ROAD 580 STE G
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33763-1137
Practice Address - Country:US
Practice Address - Phone:727-600-8880
Practice Address - Fax:727-255-6167
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-30
Last Update Date:2020-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLPH32656OtherFLORIDA BOARD OF PHARMACY