Organization
EXPRESS RX LLC
Active
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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