| NPI | 1457682460 |
|---|---|
| Doing Business As | UBC LATE STAGE, INC. |
| Entity Type | Organization |
| Authorized Contact | AMY MILLER Director 304-291-7524 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336M0002X Pharmacy Mail Order Pharmacy (Licence: WV MO0560083) |
| Enumeration Date | 2010-01-15 |
| Last Update Date | 2012-10-26 |