Organization
PHARMACY EXPRESS SERVICES INC.
Active
Organization
PHARMACY EXPRESS SERVICES INC.
Active
Other names
No Frills Pharmacy Express #1
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE S GOLDBERG (PRESIDENT)
(712) 322-6448
Entity
Organization
Contact information
Practice address
1801 VALLEY VIEW DR, COUNCIL BLUFFS, IA 51503-5462
(712) 322-6448
Mailing address
PO BOX 241148, OMAHA, NE 68124-5148
(712) 322-6448
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
1007
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0150680
—
IA
01
—
1618620
NCPDP
—
Enumeration date
07/29/2006
Last updated
04/20/2008
Update your record
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