Healthcare Provider Details

I. General information

NPI: 1811781438
Provider Name (Legal Business Name): MIDWAY SPECIALTY CARE RX LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/08/2025
Last Update Date: 08/14/2025
Certification Date: 08/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2247 PALM BEACH LAKES BLVD STE 209
WEST PALM BEACH FL
33409-3408
US

IV. Provider business mailing address

2247 PALM BEACH LAKES BLVD STE 209
WEST PALM BEACH FL
33409-3408
US

V. Phone/Fax

Practice location:
  • Phone: 561-513-6237
  • Fax: 561-513-6239
Mailing address:
  • Phone: 561-513-6237
  • Fax: 561-513-6239

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: MR. ANAND SUKHRAM
Title or Position: CEO
Credential:
Phone: 772-464-9746