Organization
EXPRESSWAY PHARMACY
Active
Other names
Expressway Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JOHNNY LUU (MANAGER/OWNER)
(504) 939-1176
Entity
Organization
Contact information
Practice address
315 WESTBANK EXPY, GRETNA, LA 70053-5616
(504) 302-0987
(504) 302-0066
Mailing address
315 WESTBANK EXPY, GRETNA, LA 70053-5616
(504) 302-0987
(504) 302-0066
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY.007128-IR
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2151695
PK
—
05
—
2203738
—
LA
Enumeration date
04/28/2015
Last updated
01/18/2017
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