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General NPI Number Information
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NPI Number | 1134049687
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Entity Type | Organization
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Legal Business Name | LUX BOX RX L.L.C.
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Dates
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Enumeration Date | 07/16/2026
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Last Update Date | 07/16/2026
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Provider Practice Location Address
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Address Line | 2821 GLENWOOD AVENUE
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City | ROCKFORD
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State | IL
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Zip | 61101
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Country | US
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Telephone | 815-904-6951
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Fax |
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Provider Business Mailing Address
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Address Line | 2821 GLENWOOD AVENUE
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City | ROCKFORD
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State | IL
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Zip | 61101
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Country | US
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Telephone | 815-904-6951
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Fax | 877-502-2250
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Authorized Official
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Title or Position | OWNER
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Name | DR. LUCIE DONIKIAN
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Credential | BCPC, PHARMD
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Telephone | 508-736-2599
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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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