Organization
EXPRESS PHARMACY SERVICES INC
Active
Other names
Express Pharmacy Services Inc
Organization subpart
No
Provider details
NPI number
Authorized official
BORIS GRINSHTEYN (PRESIDENT/PIC)
(213) 674-2250
Entity
Organization
Contact information
Practice address
1711 W TEMPLE ST, STE 100B, LOS ANGELES, CA 90026-5421
(213) 674-2520
(213) 674-2305
Mailing address
1711 W TEMPLE ST, SUITE 100B, LOS ANGELES, CA 90026-5421
(213) 674-2250
(213) 674-3229
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
51608
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1245537810
—
CA
01
—
2142699
PK
—
Enumeration date
02/17/2011
Last updated
07/03/2014
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