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General NPI Number Information
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NPI Number | 1952532517
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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 | 07/30/2009
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Last Update Date | 05/11/2022
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Provider Practice Location Address
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Address Line | 150 FENCL LN
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City | HILLSIDE
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State | IL
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Zip | 60162-2041
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Country | US
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Telephone | 708-449-7600
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Fax | 855-422-0782
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Provider Business Mailing Address
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Address Line | 150 FENCL LN SUITE 101
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City | HILLSIDE
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State | IL
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Zip | 60162-2041
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Country | US
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Telephone | 708-449-7600
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Fax | 855-422-0782
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Authorized Official
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Title or Position | COO
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Name | CHARLES BENAIN
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Credential |
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Telephone | 708-375-5704
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 64001052A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number | NRPS.022500850-03
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number | 2014032504
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License Number State | MO
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Taxonomy #4
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number | 22-44746
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License Number State | KS
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Taxonomy #5
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number | NP000322
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License Number State | PA
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Taxonomy #6
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number | 1415-43
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License Number State | WI
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Taxonomy #7
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number | 5301010729
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License Number State | MI
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Taxonomy #8
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number | 054.017620
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License Number State | IL
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