Provider Demographics
NPI:1649555277
Name:UNITED STATES PHARMACEUTICAL GROUP, LLC
Entity type:Organization
Organization Name:UNITED STATES PHARMACEUTICAL GROUP, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:
Authorized Official - Last Name:FARRELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-903-5000
Mailing Address - Street 1:13621 NW 12TH ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:SUNRISE
Mailing Address - State:FL
Mailing Address - Zip Code:33323-2836
Mailing Address - Country:US
Mailing Address - Phone:954-903-5000
Mailing Address - Fax:954-903-5290
Practice Address - Street 1:14 OFFICE PARK CIR
Practice Address - Street 2:SUITE 114
Practice Address - City:MOUNTAIN BRK
Practice Address - State:AL
Practice Address - Zip Code:35223-2563
Practice Address - Country:US
Practice Address - Phone:954-903-5000
Practice Address - Fax:954-903-5290
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-14
Last Update Date:2011-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies