Provider Demographics
NPI:1083413264
Name:UNION PHARMACY STORE 6
Entity type:Organization
Organization Name:UNION PHARMACY STORE 6
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:RPH
Authorized Official - Prefix:
Authorized Official - First Name:XIAOYAN
Authorized Official - Middle Name:
Authorized Official - Last Name:QIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-304-7477
Mailing Address - Street 1:43 LEONARD ST
Mailing Address - Street 2:
Mailing Address - City:BELMONT
Mailing Address - State:MA
Mailing Address - Zip Code:02478-2526
Mailing Address - Country:US
Mailing Address - Phone:857-394-1025
Mailing Address - Fax:857-394-1026
Practice Address - Street 1:43 LEONARD ST
Practice Address - Street 2:
Practice Address - City:BELMONT
Practice Address - State:MA
Practice Address - Zip Code:02478-2526
Practice Address - Country:US
Practice Address - Phone:857-394-1025
Practice Address - Fax:857-394-1026
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-11
Last Update Date:2025-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy