Provider Demographics
NPI:1972739068
Name:MEDS RX PHARMACY LLC
Entity Type:Organization
Organization Name:MEDS RX PHARMACY LLC
Other - Org Name:YOUWAY HOME CARE & MEDICAL SUPPLY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:P
Authorized Official - Prefix:
Authorized Official - First Name:STEVENSON
Authorized Official - Middle Name:
Authorized Official - Last Name:JEAN-MARY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-729-6596
Mailing Address - Street 1:PO BOX 4097
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33442-4097
Mailing Address - Country:US
Mailing Address - Phone:954-729-6596
Mailing Address - Fax:
Practice Address - Street 1:600 S DIXIE HWY STE 106
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33432-6034
Practice Address - Country:US
Practice Address - Phone:954-729-6596
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-03
Last Update Date:2015-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPH24081332B00000X, 332B00000X
3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2121110OtherPK