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Organization
UPCARE LLC
Active
Organization
UPCARE LLC
Active
Other names
Fusion RX Health and Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
MARK SALEM PHARMD (MEMBER)
(618) 659-5569
Entity
Organization
Contact information
Practice address
1333 CENTRAL PARK DR STE 101, O FALLON, IL 62269-1775
(618) 659-5569
Mailing address
1333 CENTRAL PARK DR STE 101, O FALLON, IL 62269-1775
(618) 659-5569
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
—
NULL
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
—
—
3336C0002X
Clinic Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
—
NULL
3336C0004X
Compounding Pharmacy
—
NULL
3336H0001X
Home Infusion Therapy Pharmacy
—
NULL
3336S0011X
Specialty Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10873096
ARTICLES OF ORGANIZATION
IL
Enumeration date
09/21/2021
Last updated
09/21/2021
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