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Contact Information

UBC LATE STAGE INC
200 PINECREST PLZ
MORGANTOWN, WV26505-8065
 Phone: 304-291-7524
 Fax: 304-292-6391
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mail Order Pharmacy

3336M0002X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for UBC LATE STAGE INC

NPI Number 1457682460
LBN Legal business name UBC LATE STAGE INC
Authorized official AMY MILLER - (DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 01/15/2010
Last updated 10/26/2012 - About 14 years ago
Identifiers
WV License # MO0560083
Other 5055151 NCPDP PROVIDER IDENTIFICATION NUMBER
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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