Healthcare Provider Details

I. General information

NPI: 1255424966
Provider Name (Legal Business Name): RAPID-MED PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2006
Last Update Date: 03/31/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

161 NW 29TH ST
MIAMI FL
33127-3929
US

IV. Provider business mailing address

3140 S OCEAN DR APT 2009
HALLANDALE BEACH FL
33009-7240
US

V. Phone/Fax

Practice location:
  • Phone: 305-571-5121
  • Fax: 305-571-8132
Mailing address:
  • Phone: 305-968-3369
  • Fax: 305-571-8132

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPH20798
License Number StateFL

VIII. Authorized Official

Name: MRS. TERINA DEL CARMEN GRAU
Title or Position: PRESIDENT
Credential:
Phone: 305-571-5121