Organization
EXPRESS PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA PHAM (PHARMACY MANAGER AND OWNER)
(407) 902-5719
Entity
Organization
Contact information
Practice address
1218 WINTER GARDEN VINELAND RD, UNIT 112, WINTER GARDEN, FL 34787-6370
(407) 902-5719
Mailing address
292 SAGECREST DR, OCOEE, FL 34761-4633
(407) 902-5719
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH27330
FL
Other
Enumeration date
05/06/2014
Last updated
05/06/2014
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