Organization
MIDWAY SPECIALTY CARE RX LLC.
Active
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 (PHARMACY DIRECTOR)
(772) 464-9746
Entity
Organization
Contact information
Practice address
11458 N 53RD ST, TEMPLE TERRACE, FL 33617-2216
(813) 733-8224
Mailing address
3255 S US HIGHWAY 1, FORT PIERCE, FL 34982-6381
(772) 464-9746
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PH33929
PHARMACY LICENSE
FL
Enumeration date
05/03/2022
Last updated
08/28/2026
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