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General NPI Number Information
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NPI Number | 1083307797
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Entity Type | Organization
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Legal Business Name | URX3 LLC
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Dates
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Enumeration Date | 05/30/2023
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Last Update Date | 06/19/2024
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Provider Practice Location Address
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Address Line | 1249 W MAIN ST
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City | WATERBURY
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State | CT
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Zip | 06708-3100
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Country | US
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Telephone | 203-759-8548
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Fax |
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Provider Business Mailing Address
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Address Line | 63 COVENTRY LN
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City | TRUMBULL
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State | CT
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Zip | 06611-1061
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Country | US
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Telephone | 203-824-3570
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Fax |
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Authorized Official
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Title or Position | OWNER, MANAGING MEMBER
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Name | DR. JUSTIN JAMES BUTURLA SR.
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Credential | PHARMD
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Telephone | 203-759-8548
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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