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Organization
UNI CARE RX LLC
Active
Organization
UNI CARE RX LLC
Active
Other names
UNI CARE RX
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN WORREL PHARMD (CFO)
(601) 544-4848
Entity
Organization
Contact information
Practice address
124 WALNUT CIR, STE 1, HATTIESBURG, MS 39401-3500
(601) 544-4848
(601) 544-4868
Mailing address
124 WALNUT CIR, STE 1, HATTIESBURG, MS 39401-3500
(601) 544-4848
(601) 544-4868
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336L0003X
Long Term Care Pharmacy
Primary
03742023
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00330325
—
MS
01
—
2045623
PK
—
Enumeration date
02/07/2007
Last updated
01/18/2017
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