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Organization
EXPRESS MEDICAL PHARMACY LLC
Active
Organization
EXPRESS MEDICAL PHARMACY LLC
Active
Other names
Medicine Shoppe
Organization subpart
No
Provider details
NPI number
Authorized official
HIBA ALHALABI (OWNER PHARMACIST IN CHARGE)
(618) 973-3879
Entity
Organization
Contact information
Practice address
1 ROYAL HEIGHTS CTR, BELLEVILLE, IL 62226-5705
(800) 633-4227
(618) 641-9801
Mailing address
1010 DEVONWORTH MANOR WAY, TOWN AND COUNTRY, MO 63017-8548
(618) 973-3879
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
2018005586
MO
3336C0004X
Compounding Pharmacy
—
NULL
3336M0002X
Mail Order Pharmacy
—
NULL
3336S0011X
Specialty Pharmacy
Primary
054019416
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2164622
PK
—
05
—
3489444326222601
—
IL
Enumeration date
10/14/2016
Last updated
09/19/2025
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