Organization
AVENAL EXPRESS PHARMACY LLC
Active
Other names
Express Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HASSAN ISMAEL (PIC)
(559) 345-6737
Entity
Organization
Contact information
Practice address
317 E KINGS ST, AVENAL, CA 93204-1630
(559) 583-1480
(559) 583-1475
Mailing address
PO BOX 9699, BAKERSFIELD, CA 93389-9699
(559) 583-1480
(559) 583-1475
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
12/22/2018
Last updated
10/24/2024
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