# EXPRESS APOTHECARY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** EXPRESS APOTHECARY PHCY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326182023
- **Authorized official:** KEVIN PRUITT PHARMD (MANAGER)
- **Authorized official phone:** (407) 902-8607

## Contact information

- **Practice address:** 325 OAK WEST ST, KISSIMMEE, FL 34741
- **Practice address phone:** (407) 932-0033
- **Practice address fax:** (407) 932-0083
- **Mailing address:** 325 OAK WEST ST, KISSIMMEE, FL 34741

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |
| 333600000X | Pharmacy | PH21586 | FL | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | — |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 02/16/2007
- **Last updated:** 09/11/2025