Organization
EXPRESS PHARMACY LLC
Active
Other names
Express Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
HELEN LE (PIC)
(225) 241-5307
Entity
Organization
Contact information
Practice address
3328 N FOSTER DR, BATON ROUGE, LA 70805
(225) 302-5762
(225) 302-5797
Mailing address
835 WOODCLIFF DR, BATON ROUGE, LA 70815-6849
(225) 241-5307
(225) 302-5797
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
6056IR
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1234559
—
LA
01
—
1934151
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
08/18/2008
Last updated
03/24/2011
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