# AVENAL EXPRESS PHARMACY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083465199
- **Authorized official:** AMANDA NESHEIWAT (BUSINESS ADMINISTRATOR)
- **Authorized official phone:** (661) 912-9511

## Contact information

- **Practice address:** 317 E KINGS ST, AVENAL, CA 93204-1630
- **Practice address phone:** (559) 345-6737
- **Practice address fax:** (559) 386-9661
- **Mailing address:** PO BOX 9699, BAKERSFIELD, CA 93389-9699

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 03/27/2024
- **Last updated:** 10/24/2024