Organization
EXPRESS PHARMACY OF SPRING LLC
Active
Other names
Express Pharmacy Of Spring LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MARKO JARIC (OFFICER)
(954) 805-8581
Entity
Organization
Contact information
Practice address
5039 FM 2920 RD STE C, SPRING, TX 77388-3114
(281) 453-7251
(281) 453-7649
Mailing address
141 E COMMERCIAL BLVD, OAKLAND PARK, FL 33334-1623
(954) 805-8581
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
31568
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2169227
PK
—
Enumeration date
04/24/2017
Last updated
08/31/2021
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