Organization
EXPRESS FOOD AND PHARMACY INC
Active
Other names
EXPRESS FOOD & PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY ROSELLE (MANAGER)
(678) 889-2131
Entity
Organization
Contact information
Practice address
3685 BRASELTON HWY STE 101, DACULA, GA 30019-5920
(678) 889-2131
(678) 889-2135
Mailing address
3685 BRASELTON HWY STE 101102, DACULA, GA 30019-5920
(678) 889-2131
(678) 889-2135
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHRE010087
GA
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003154463A
—
GA
01
—
2148304
PK
—
Enumeration date
10/03/2014
Last updated
06/25/2025
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