# SOUTHWEST EXPRESS PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801504048
- **Authorized official:** MR. WISAM ABDALLAH (MANAGER)
- **Authorized official phone:** (708) 837-1233

## Contact information

- **Practice address:** 11164 SOUTHWEST HWY, PALOS HILLS, IL 60465-2709
- **Practice address phone:** (708) 541-1000
- **Mailing address:** 11164 SOUTHWEST HWY, PALOS HILLS, IL 60465-2709

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 11/07/2022
- **Last updated:** 11/07/2022