Organization
EXPRESS SCRIPTS SPECIALTY DISTRIBUTION SERVICES, INC.
Active
Other names
EXPRESS SCRIPTS SPECIALTY DIST SVCS
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN PEPPERS (ASSISTANT SECRETARY)
(513) 858-4916
Entity
Organization
Contact information
Practice address
4600 N HANLEY RD STE B, SAINT LOUIS, MO 63134-2715
(800) 332-5455
(877) 304-9042
Mailing address
21162 NETWORK PL, CHICAGO, IL 60673-1238
(800) 332-5455
(877) 304-9042
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
2000168119
MO
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2632847
OTHER ID NUMBER COMMERCIAL NUMBER
—
Enumeration date
10/19/2006
Last updated
05/10/2023
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