# EXPRESS FOOD & PHARMACY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Express Food & Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275963209
- **Authorized official:** KETAN TRIVEDI (PHARMACIST)
- **Authorized official phone:** (678) 205-7038

## Contact information

- **Practice address:** 50 UPPER ALABAMA ST SW STE 92, ATLANTA, GA 30303-3105
- **Practice address phone:** (404) 818-0075
- **Practice address fax:** (404) 818-0077
- **Mailing address:** 50 UPPER ALABAMA ST SW STE 92, ATLANTA, GA 30303-3105
- **Mailing address phone:** (404) 818-0075
- **Mailing address fax:** (404) 818-0077

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | PHRE009977 | GA | Yes |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 11/12/2013
- **Last updated:** 05/06/2014