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Organization
EXPRESS PHARMACY INC
Active
Organization
EXPRESS PHARMACY INC
Active
Other names
Express Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JO SEUNG KIM RPH (OWNER)
(678) 702-1263
Entity
Organization
Contact information
Practice address
3182 STEVE REYNOLDS BLVD STE 106, DULUTH, GA 30096-4505
(770) 557-0306
(470) 395-9398
Mailing address
3182 STEVE REYNOLDS BLVD STE 106, DULUTH, GA 30096-4505
(770) 557-0306
(470) 395-9398
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PHRE010069
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003151326A
—
GA
Enumeration date
06/27/2014
Last updated
11/01/2021
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