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Organization
MEDEXPRESS PHARMACY, LTD.
Active
Organization
MEDEXPRESS PHARMACY, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN DEPORTER (VP OF PHARM. OPS)
(225) 236-1549
Entity
Organization
Contact information
Practice address
1431 W. INNES STREET, SALISBURY, NC 28145
(800) 633-3977
(800) 615-0075
Mailing address
1431 W. INNES STREET, SALISBURY, NC 28145
(800) 633-3977
(800) 615-0075
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
07849
NC
333600000X
Pharmacy
Primary
12033
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010071267
—
VA
05
—
0805739
—
NC
05
—
1982709309
—
SC
01
—
3439278
NCPDP NUMBER
—
Enumeration date
09/13/2006
Last updated
12/05/2014
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