Organization
EXPRESS SERVICE PHARMACY INC
Active
Other names
Express Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ISKANDER HUSSEIN (OWNER / COORDINATOR)
(661) 746-5600
Entity
Organization
Contact information
Practice address
102 BRUNDAGE LN, BAKERSFIELD, CA 93304-3203
(661) 325-2500
(661) 325-2828
Mailing address
102 BRUNDAGE LN, BAKERSFIELD, CA 93304-3203
(661) 325-2500
(661) 325-2828
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY50150
CA
3336M0002X
Mail Order Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5636658
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
12/11/2009
Last updated
02/05/2010
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