Organization
MED EXPRESS PHARMACY INC
Active
Other names
MED EXPRESS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
RAY ANDERSON (PHCY MANG)
(334) 684-7011
Entity
Organization
Contact information
Practice address
1541 W MAGNOLIA AVE, STE 2, GENEVA, AL 36340-1213
(334) 684-7011
(334) 684-7009
Mailing address
PO BOX 69, GENEVA, AL 36340-0069
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
113103
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000065700
—
FL
05
—
102190
—
AL
01
—
1996301
PK
—
Enumeration date
05/22/2008
Last updated
05/02/2014
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