Provider Demographics
NPI:1548684822
Name:SPEEDYRX LLC.
Entity type:Organization
Organization Name:SPEEDYRX LLC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BENTZION
Authorized Official - Middle Name:
Authorized Official - Last Name:SALAMON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-387-7577
Mailing Address - Street 1:1540 W ELIZABETH AVE
Mailing Address - Street 2:
Mailing Address - City:LINDEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07036-6323
Mailing Address - Country:US
Mailing Address - Phone:732-387-7577
Mailing Address - Fax:732-719-7577
Practice Address - Street 1:1540 W ELIZABETH AVE
Practice Address - Street 2:
Practice Address - City:LINDEN
Practice Address - State:NJ
Practice Address - Zip Code:07036-6323
Practice Address - Country:US
Practice Address - Phone:732-387-7577
Practice Address - Fax:732-719-7577
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-07
Last Update Date:2015-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RS007314003336L0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2144121OtherPK
2144121OtherPK