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Organization

EXPRESS RX LLC

Active
Other names
Express Rx LLC
Organization subpart
No

Provider details

NPI number
Authorized official
MOHAMED DABAJA (OWNER/MANAGER)
(313) 399-3565
Entity
Organization

Contact information

Practice address
8343 N WAYNE RD, WESTLAND, MI 48185-1351
(734) 956-5275
(734) 956-5356
Mailing address
8343 N WAYNE RD, WESTLAND, MI 48185-1351
(734) 956-5275

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301009320
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2374015
NCPDP PROVIDER IDENTIFICATION NUMBER
Enumeration date
05/13/2010
Last updated
10/19/2010
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