Organization
UNITED RX, LLC
Active
Parent organization
UNITED RX, LLC
Other names
United Rx, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
UNITED RX, LLC
Authorized official
CHARLES STEVEN BENAIN (CEO / OWNER)
(708) 449-7600
Entity
Organization
Contact information
Practice address
1120 W. MAIN STREET, CARBONDALE, IL 62901-1929
(708) 375-5736
(708) 377-9029
Mailing address
1120 W. MAIN STREET, CARBONDALE, IL 62901-1929
(877) 896-7090
(618) 457-7407
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
054017653
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1487140
NCPDP
IL
01
—
6381180001
DME PTAN
—
05
—
=========
—
IL
Enumeration date
09/05/2012
Last updated
05/23/2024
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