# EXPRESS FOOD AND PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** EXPRESS FOOD & PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295138204
- **Authorized official:** ANTHONY ROSELLE (MANAGER)
- **Authorized official phone:** (678) 889-2131

## Contact information

- **Practice address:** 3685 BRASELTON HWY STE 101, DACULA, GA 30019-5920
- **Practice address phone:** (678) 889-2131
- **Practice address fax:** (678) 889-2135
- **Mailing address:** 3685 BRASELTON HWY STE 101102, DACULA, GA 30019-5920
- **Mailing address phone:** (678) 889-2131
- **Mailing address fax:** (678) 889-2135

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | PHRE010087 | GA | Yes |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | — |
| 3336S0011X | Specialty Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 10/03/2014
- **Last updated:** 06/25/2025