Organization
MIDWAY SPECIALTY CARE RX LLC
Active
Parent organization
MIDWAY SPECIALTY CARE CENTER
Other names
Midway Specialty Care Center Inc.
Organization subpart
Yes
Provider details
NPI number
Legal business name
MIDWAY SPECIALTY CARE CENTER
Authorized official
SUZETTE WOOD PHARMD (PHARMACY DIRECTOR)
(772) 465-4442
Entity
Organization
Contact information
Practice address
3255 S US HIGHWAY I, FORT PIERCE, FL 34982-6381
(772) 464-9746
(772) 464-9750
Mailing address
356 E MIDWAY ROAD, FORT PIERCE, FL 34982-7148
(772) 464-9746
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
PH29049
FL
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5726750
NCPDP
—
Enumeration date
05/08/2015
Last updated
05/03/2022
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