| NPI | 1043822620 |
|---|---|
| Former Legal Business Name | SPECIALTYCARERX LLC |
| Entity Type | Organization |
| Authorized Contact | DAWN MARIE GOULDING Director Of Operations 631-459-6514 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 332BD1200X Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2020-08-17 |
| Last Update Date | 2021-07-30 |