Organization
SPECIALTYCARERX LLC
Active
Other names
SpecialtyCareRx LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN MARIE GOULDING (DIRECTOR OF OPERATIONS)
(631) 459-6514
Entity
Organization
Contact information
Practice address
821 N US HIGHWAY 1 STE A, ORMOND BEACH, FL 32174-4528
(631) 459-6514
(877) 503-7230
Mailing address
821 N US HIGHWAY 1 STE A, ORMOND BEACH, FL 32174-4528
(631) 459-6514
(877) 503-7230
Taxonomy
Speciality
Code
Description
License number
State
332BD1200X
Dialysis Equipment & Supplies (DME)
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Enumeration date
08/17/2020
Last updated
07/30/2021
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