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General NPI Number Information
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NPI Number | 1508589268
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Entity Type | Organization
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Legal Business Name | UNIVERSAL RX LLC
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Dates
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Enumeration Date | 09/19/2022
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Last Update Date | 09/19/2022
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Provider Practice Location Address
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Address Line | 7701 SHARON LAKES RD STE H
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City | CHARLOTTE
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State | NC
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Zip | 28210-7429
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Country | US
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Telephone | 980-201-9240
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Fax | 980-201-9241
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Provider Business Mailing Address
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Address Line | 7701 SHARON LAKES RD STE H
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City | CHARLOTTE
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State | NC
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Zip | 28210-7429
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Country | US
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Telephone | 980-201-9240
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Fax | 980-201-9241
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Authorized Official
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Title or Position | PIC
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Name | SARAH WORKMAN
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Credential |
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Telephone | 980-980-2019
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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