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General NPI Number Information
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NPI Number | 1598014581
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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 | 09/05/2012
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Last Update Date | 05/23/2024
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Provider Practice Location Address
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Address Line | 1120 W. MAIN STREET
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City | CARBONDALE
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State | IL
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Zip | 62901-1929
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Country | US
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Telephone | 708-375-5736
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Fax | 708-377-9029
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Provider Business Mailing Address
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Address Line | 1120 W. MAIN STREET
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City | CARBONDALE
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State | IL
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Zip | 62901-1929
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Country | US
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Telephone | 877-896-7090
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Fax | 618-457-7407
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Authorized Official
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Title or Position | CEO / OWNER
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Name | CHARLES STEVEN BENAIN
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Credential |
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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 | 054017653
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License Number State | IL
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