Provider Demographics
NPI:1578033569
Name:UNCAS PHARMACY LLC
Entity Type:Organization
Organization Name:UNCAS PHARMACY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SANTHI
Authorized Official - Middle Name:
Authorized Official - Last Name:KILARU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-889-8413
Mailing Address - Street 1:20 TOWN ST
Mailing Address - Street 2:
Mailing Address - City:NORWICH
Mailing Address - State:CT
Mailing Address - Zip Code:06360-2306
Mailing Address - Country:US
Mailing Address - Phone:860-889-8413
Mailing Address - Fax:
Practice Address - Street 1:20 TOWN ST
Practice Address - Street 2:
Practice Address - City:NORWICH
Practice Address - State:CT
Practice Address - Zip Code:06360-2306
Practice Address - Country:US
Practice Address - Phone:860-889-8413
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-03
Last Update Date:2018-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy