Basic Information
| Provider Information | |||||||||
| NPI: | 1508589268 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | UNIVERSAL RX LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7701 SHARON LAKES RD STE H | ||||||||
| Address2: | |||||||||
| City: | CHARLOTTE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 282107429 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9802019240 | ||||||||
| FaxNumber: | 9802019241 | ||||||||
| Practice Location | |||||||||
| Address1: | 7701 SHARON LAKES RD STE H | ||||||||
| Address2: | |||||||||
| City: | CHARLOTTE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 282107429 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9802019240 | ||||||||
| FaxNumber: | 9802019241 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/19/2022 | ||||||||
| LastUpdateDate: | 09/19/2022 | ||||||||
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| AuthorizedOfficialLastName: | WORKMAN | ||||||||
| AuthorizedOfficialFirstName: | SARAH | ||||||||
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| AuthorizedOfficialTitleorPosition: | PIC | ||||||||
| AuthorizedOfficialTelephone: | 9809802019 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| NPICertificationDate: | 09/19/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 3336C0003X | Y | Suppliers | Pharmacy | Community/Retail Pharmacy |
No ID Information.