Provider Demographics
NPI:1700105509
Name:UNIQUE ACS GROUP LLC
Entity Type:Organization
Organization Name:UNIQUE ACS GROUP LLC
Other - Org Name:UNIQUE DISCOUNT PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:REGISTER NURSE
Authorized Official - Prefix:MS
Authorized Official - First Name:ANITA
Authorized Official - Middle Name:CLARICE
Authorized Official - Last Name:SCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:BSN
Authorized Official - Phone:504-669-2726
Mailing Address - Street 1:4106 FANNIN ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77004-4808
Mailing Address - Country:US
Mailing Address - Phone:713-772-6060
Mailing Address - Fax:713-526-6064
Practice Address - Street 1:4106 FANNIN ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77004-4808
Practice Address - Country:US
Practice Address - Phone:713-772-6060
Practice Address - Fax:713-526-6064
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-19
Last Update Date:2010-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy