Provider Demographics
NPI:1750696944
Name:GALAXY MEDS, INC.
Entity type:Organization
Organization Name:GALAXY MEDS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:CARL
Authorized Official - Middle Name:G
Authorized Official - Last Name:JOLICOEUR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-247-5593
Mailing Address - Street 1:6742 FOREST HILL BLVD
Mailing Address - Street 2:272
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33413
Mailing Address - Country:US
Mailing Address - Phone:561-247-5593
Mailing Address - Fax:888-463-1686
Practice Address - Street 1:6742 FOREST HILL BLVD
Practice Address - Street 2:272
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33413
Practice Address - Country:US
Practice Address - Phone:561-247-5593
Practice Address - Fax:888-463-1686
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-11
Last Update Date:2010-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy