Healthcare Provider Details

I. General information

NPI: 1235718305
Provider Name (Legal Business Name): MD2RX, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/06/2021
Last Update Date: 04/06/2021
Certification Date: 04/06/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2460 N UNIVERSITY DR
PEMBROKE PINES FL
33024-3624
US

IV. Provider business mailing address

2460 N UNIVERSITY DR
PEMBROKE PINES FL
33024-3624
US

V. Phone/Fax

Practice location:
  • Phone: 866-266-0514
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: DR. JACQUELINE SWEETING
Title or Position: PHARMACY MANAGER
Credential: PHARMD
Phone: 954-210-2229