Provider Demographics
NPI:1841842945
Name:UNICARE HEALTH INC
Entity type:Organization
Organization Name:UNICARE HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO/PHARMACIST
Authorized Official - Prefix:DR
Authorized Official - First Name:GOPAL
Authorized Official - Middle Name:D
Authorized Official - Last Name:SOJITRA
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D
Authorized Official - Phone:760-552-7200
Mailing Address - Street 1:12401 HESPERIA RD STE 3
Mailing Address - Street 2:
Mailing Address - City:VICTORVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:92395-5844
Mailing Address - Country:US
Mailing Address - Phone:760-552-7200
Mailing Address - Fax:760-552-7201
Practice Address - Street 1:12401 HESPERIA RD STE 3
Practice Address - Street 2:
Practice Address - City:VICTORVILLE
Practice Address - State:CA
Practice Address - Zip Code:92395-5844
Practice Address - Country:US
Practice Address - Phone:760-552-7200
Practice Address - Fax:760-552-7201
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-10
Last Update Date:2019-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPHY57381OtherBOARD OF PHARMACY PERMIT