Provider Demographics
NPI:1528230372
Name:UNIQUE PHARMACEUTICALS LTD
Entity Type:Organization
Organization Name:UNIQUE PHARMACEUTICALS LTD
Other - Org Name:UPI TEXAS INC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PHARMACIST IN CHARGE
Authorized Official - Prefix:MR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:WEATHERS
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:254-933-4416
Mailing Address - Street 1:PO BOX 3094
Mailing Address - Street 2:
Mailing Address - City:TEMPLE
Mailing Address - State:TX
Mailing Address - Zip Code:76505
Mailing Address - Country:US
Mailing Address - Phone:254-933-0874
Mailing Address - Fax:254-933-0875
Practice Address - Street 1:5920 S GENERAL BRUCE DR
Practice Address - Street 2:
Practice Address - City:TEMPLE
Practice Address - State:TX
Practice Address - Zip Code:76502-5804
Practice Address - Country:US
Practice Address - Phone:254-933-0874
Practice Address - Fax:254-933-0875
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:UPI TEXAS INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-04-01
Last Update Date:2008-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX208923336C0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0004XSuppliersPharmacyCompounding Pharmacy