# EXPRESS PHARMACY INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1710392790
- **Authorized official:** MR. JO SEUNG KIM RPH (OWNER)
- **Authorized official phone:** (678) 702-1263

## Contact information

- **Practice address:** 3182 STEVE REYNOLDS BLVD STE 106, DULUTH, GA 30096-4505
- **Practice address phone:** (770) 557-0306
- **Practice address fax:** (470) 395-9398
- **Mailing address:** 3182 STEVE REYNOLDS BLVD STE 106, DULUTH, GA 30096-4505
- **Mailing address phone:** (770) 557-0306
- **Mailing address fax:** (470) 395-9398

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | PHRE010069 | GA | Yes |

## Other

- **Enumeration date:** 06/27/2014
- **Last updated:** 11/01/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 003151326A | — | GA |