Organization
MIDWAY SPECIALTY CARE RX LLC
Active
Parent organization
MIDWAY SPECIALTY CARE CENTER INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MIDWAY SPECIALTY CARE CENTER INC
Authorized official
SUZETTE WOOD PHARMD (DIRECTOR OF PHARMACY)
(954) 892-1877
Entity
Organization
Contact information
Practice address
2608 NE 16TH AVE, WILTON MANORS, FL 33334-4319
(954) 932-0691
(954) 932-0692
Mailing address
3255 S US HIGHWAY, BUILDING # 2, SUITE 1, FORT PIERCE, FL 34982
(954) 932-0691
(954) 932-0692
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
01/12/2021
Last updated
01/12/2021
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