Provider Demographics
NPI:1376635359
Name:SPEEDY SCRIPTS INC
Entity Type:Organization
Organization Name:SPEEDY SCRIPTS INC
Other - Org Name:SPEEDY SCRIPTS PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:C.E.O./PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JEAN-P
Authorized Official - Middle Name:
Authorized Official - Last Name:FLEURANTIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-577-2135
Mailing Address - Street 1:1115 45TH ST
Mailing Address - Street 2:STE 3
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33407
Mailing Address - Country:US
Mailing Address - Phone:561-296-3795
Mailing Address - Fax:561-296-3796
Practice Address - Street 1:1115 45TH ST
Practice Address - Street 2:STE 3
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33407
Practice Address - Country:US
Practice Address - Phone:561-296-3795
Practice Address - Fax:954-903-4893
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-28
Last Update Date:2011-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPH19769183500000X
FLPH 19769332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL026815100Medicaid
FL0268151001OtherMEDICAID DME
FL026815100Medicaid