Provider Demographics
NPI:1720879885
Name:UNITED DRUGS APOTHECARY LLC
Entity type:Organization
Organization Name:UNITED DRUGS APOTHECARY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PIC / MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KHILAT
Authorized Official - Middle Name:
Authorized Official - Last Name:ABBAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-736-6314
Mailing Address - Street 1:507 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07107-1466
Mailing Address - Country:US
Mailing Address - Phone:973-482-9300
Mailing Address - Fax:
Practice Address - Street 1:507 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07107-1466
Practice Address - Country:US
Practice Address - Phone:973-482-9300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-16
Last Update Date:2025-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy