Provider Demographics
NPI:1811781438
Name:MIDWAY SPECIALTY CARE RX LLC
Entity type:Organization
Organization Name:MIDWAY SPECIALTY CARE RX LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ANAND
Authorized Official - Middle Name:
Authorized Official - Last Name:SUKHRAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:772-464-9746
Mailing Address - Street 1:2247 PALM BEACH LAKES BLVD STE 209
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33409-3408
Mailing Address - Country:US
Mailing Address - Phone:561-513-6237
Mailing Address - Fax:561-513-6239
Practice Address - Street 1:2247 PALM BEACH LAKES BLVD STE 209
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33409-3408
Practice Address - Country:US
Practice Address - Phone:561-513-6237
Practice Address - Fax:561-513-6239
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MIDWAY SPECIALTY CARE RX LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-04-08
Last Update Date:2025-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Multi-Specialty