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Mail Order Pharmacy

Morgantown, West Virginia

Provider NPI: 1457682460

Organization Information:
Organization Name:  UBC LATE STAGE INC

Practice Location:
Tel: 304-291-7524  Fax: --

Business Mailing Address:
Tel: --  Fax: --


PrimaryCodeCategory/DescriptionStateLicense Number
Mail Order Pharmacy

Other Provider Identifiers:

Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin


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