Organization
XPRESSMEDCARE LLC
Active
Other names
XpressMedCare Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JACQULINE HENRIQUEZ (PRACTICE ADMINISTRATOR)
(301) 563-9714
Entity
Organization
Contact information
Practice address
13671 GEORGIA AVE, SILVER SPRING, MD 20906-5214
(240) 558-3131
(240) 558-3114
Mailing address
PO BOX 6117, SILVER SPRING, MD 20916-6117
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
D0062473
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2146340
PK
—
Enumeration date
11/17/2008
Last updated
11/17/2014
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