Provider Demographics
NPI:1982376653
Name:UNION PHARMACY PARTNERSHIP LLC
Entity Type:Organization
Organization Name:UNION PHARMACY PARTNERSHIP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACY MANAGER/CO-OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:CRONAN
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:706-318-1769
Mailing Address - Street 1:3340 SILOAM VEAZEY RD
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:GA
Mailing Address - Zip Code:30642-3647
Mailing Address - Country:US
Mailing Address - Phone:706-318-1769
Mailing Address - Fax:
Practice Address - Street 1:624 SIBLEY AVE
Practice Address - Street 2:
Practice Address - City:UNION POINT
Practice Address - State:GA
Practice Address - Zip Code:30669-1140
Practice Address - Country:US
Practice Address - Phone:706-486-2131
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-01
Last Update Date:2021-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy