Provider Demographics
NPI:1578842738
Name:MEDS RX
Entity Type:Organization
Organization Name:MEDS RX
Other - Org Name:MEDS RX , LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FLEURETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:JEAN-MARY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-416-0058
Mailing Address - Street 1:750 E SAMPLE RD BLDG 3
Mailing Address - Street 2:
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33064-5144
Mailing Address - Country:US
Mailing Address - Phone:954-416-0058
Mailing Address - Fax:954-692-0395
Practice Address - Street 1:750 E SAMPLE RD BLDG 3
Practice Address - Street 2:
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33064-5144
Practice Address - Country:US
Practice Address - Phone:954-416-0058
Practice Address - Fax:954-692-0395
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-05
Last Update Date:2011-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPH256043336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
5706924OtherNCPDP PROVIDER IDENTIFICATION NUMBER