Organization
EXPRESS DISCOUNT PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHIJIOKE OKEHIE (DIRECTOR)
(910) 491-2431
Entity
Organization
Contact information
Practice address
1905 SKIBO RD STE 104, FAYETTEVILLE, NC 28314-0261
(910) 491-2431
(910) 491-2671
Mailing address
1905 SKIBO RD STE 104, FAYETTEVILLE, NC 28314-0261
(910) 491-2431
(910) 491-2671
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12038
NC BOARD OF PHARMACY
ND
Enumeration date
08/19/2022
Last updated
08/19/2022
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