Organization
EXPRESS APOTHECARY, LLC
Active
Other names
EXPRESS APOTHECARY PHCY
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN PRUITT PHARMD (MANAGER)
(407) 902-8607
Entity
Organization
Contact information
Practice address
325 OAK WEST ST, KISSIMMEE, FL 34741
(407) 932-0033
(407) 932-0083
Mailing address
325 OAK WEST ST, KISSIMMEE, FL 34741
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
333600000X
Pharmacy
PH21586
FL
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1015266
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
02/16/2007
Last updated
09/11/2025
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