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Organization
EXPRESS FOOD & PHARMACY LLC
Active
Organization
EXPRESS FOOD & PHARMACY LLC
Active
Other names
Express Food & Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DISHANK PATEL (PHARMACIST MANAGER)
(404) 818-0075
Entity
Organization
Contact information
Practice address
50 UPPER ALABAMA ST SW STE 92, ATLANTA, GA 30303-3105
(404) 818-0075
Mailing address
50 UPPER ALABAMA ST SW STE 92, ATLANTA, GA 30303-3105
(404) 818-0075
(404) 818-0077
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003144768A
—
GA
Enumeration date
02/11/2020
Last updated
02/11/2020
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