MEDICARE: UNITY RX LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1144059916
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNITY RX LLC

Provider Business Mailing Address
First Line	:	4515 N 16TH ST STE 105
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85016-5362
Country	:	US
Telephone Number	:	623-220-2121
Fax Number	:

Provider Business Practice Location Address
First Line	:	4515 N 16TH ST STE 105
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85016-5362
Country	:	US
Telephone Number	:	623-220-2121
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MARIE VERDUGO
Credential	:
Telephone Number	:	623-220-2121

Provider Enumeration Date	:	07/30/2024
Last Update Date	:	07/30/2024

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Directions to “UNITY RX LLC ” Practice Location

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