Organization
UNITED RX LLC
Active
Other names
UNITED RX LLC
Organization subpart
No
Provider details
NPI number
Authorized official
HENRY HERNANDEZ (INS. CONTRACTING REP.)
(708) 375-5736
Entity
Organization
Contact information
Practice address
1408 MILLER AVE STE A, SHELBYVILLE, IN 46176-3279
(708) 449-7600
Mailing address
150 FENCL LN, HILLSIDE, IL 60162-2041
(708) 375-5736
(708) 375-5820
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
60006451A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201285520A
—
IN
01
—
2150054
PK
—
Enumeration date
01/30/2015
Last updated
05/11/2022
About Stedi
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