Provider Demographics
NPI:1245856475
Name:YOUR WAY RX LLC
Entity type:Organization
Organization Name:YOUR WAY RX LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVENSON
Authorized Official - Middle Name:
Authorized Official - Last Name:JEAN-MARY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-703-4428
Mailing Address - Street 1:1495 FOREST HILL BLVD STE G
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33406-6073
Mailing Address - Country:US
Mailing Address - Phone:561-703-4428
Mailing Address - Fax:561-838-7128
Practice Address - Street 1:1495 FOREST HILL BLVD STE G
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33406-6073
Practice Address - Country:US
Practice Address - Phone:561-703-4428
Practice Address - Fax:561-838-7128
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-23
Last Update Date:2020-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BD1200XSuppliersDurable Medical Equipment & Medical SuppliesDialysis Equipment & Supplies