Organization
HEALTHYBENEFITSRX
Active
Other names
EXPRESS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
AKINWUNMI ODUSOLA (PHARMACIST/PHARMACIST IN CHARGE)
(732) 951-1002
Entity
Organization
Contact information
Practice address
2013 STATE ROUTE 27, SUITE 1, SOMERSET, NJ 08873-3838
(732) 951-1002
(732) 951-1005
Mailing address
2013 STATE ROUTE 27, SUITE 1, SOMERSET, NJ 08873-3838
(732) 951-1002
(732) 951-1005
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
28RS00754500
NJ
3336L0003X
Long Term Care Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0581976
—
NJ
01
—
2167914
PK
—
Enumeration date
11/18/2016
Last updated
06/10/2022
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