Provider Demographics
NPI:1578023982
Name:UNION CARE PHARMACY LLC
Entity Type:Organization
Organization Name:UNION CARE PHARMACY LLC
Other - Org Name:UNIONCARE PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:
Authorized Official - Last Name:MOSSAD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-355-4480
Mailing Address - Street 1:204 BROAD ST
Mailing Address - Street 2:
Mailing Address - City:ELIZABETH
Mailing Address - State:NJ
Mailing Address - Zip Code:07201-2304
Mailing Address - Country:US
Mailing Address - Phone:908-355-4480
Mailing Address - Fax:908-355-4485
Practice Address - Street 1:204 BROAD ST
Practice Address - Street 2:
Practice Address - City:ELIZABETH
Practice Address - State:NJ
Practice Address - Zip Code:07201-2304
Practice Address - Country:US
Practice Address - Phone:908-355-4480
Practice Address - Fax:908-355-4485
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-21
Last Update Date:2020-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy