Provider Demographics
NPI:1760103089
Name:URX2, LLC
Entity Type:Organization
Organization Name:URX2, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER, MANAGING MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:JUSTIN
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:BUTURLA
Authorized Official - Suffix:SR
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:203-824-3570
Mailing Address - Street 1:1351 WHALLEY AVE
Mailing Address - Street 2:
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06515-1149
Mailing Address - Country:US
Mailing Address - Phone:203-745-0030
Mailing Address - Fax:888-915-2297
Practice Address - Street 1:1351 WHALLEY AVE
Practice Address - Street 2:
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06515-1149
Practice Address - Country:US
Practice Address - Phone:203-745-0030
Practice Address - Fax:888-915-2297
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-06
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTPCY.0002442OtherPHARMACY LICENSE
CTPCY.0002442OtherPHARMACY LICENSE