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General NPI Number Information
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NPI Number | 1588911895
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Entity Type | Organization
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Legal Business Name | UNITED RX, LLC
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Dates
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Enumeration Date | 08/07/2012
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Last Update Date | 11/18/2013
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Provider Practice Location Address
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Address Line | 2325 POINTE PKWY
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City | CARMEL
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State | IN
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Zip | 46032-3294
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Country | US
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Telephone | 317-536-2299
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Fax |
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Provider Business Mailing Address
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Address Line | 2325 POINTE PKWY
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City | CARMEL
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State | IN
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Zip | 46032-3294
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Country | US
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Telephone | 317-536-2299
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Fax | 317-815-5645
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Authorized Official
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Title or Position | COO-CHIEF-OPERATING OFFICER
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Name | MR. CHARLES BENAIN
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Credential | R.P.H.
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Telephone | 708-449-7600
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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 | 60006309A
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License Number State | IN
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