Organization
PORTERVILLE EXPRESS SPECIALTY PHARMACY, LLC
Active
Organization
PORTERVILLE EXPRESS SPECIALTY PHARMACY, LLC
Active
Other names
Express Specialty Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ISKANDER HUSSEIN RPH (PRESIDENT)
(661) 343-8855
Entity
Organization
Contact information
Practice address
301 E OLIVE AVE STE A, PORTERVILLE, CA 93257-4871
(661) 343-8855
(661) 746-4978
Mailing address
825 CENTRAL VALLEY HWY, SHAFTER, CA 93263-2078
(661) 343-8855
(661) 746-4978
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251G00000X
Community Based Hospice Care Agency
—
—
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Enumeration date
01/13/2020
Last updated
01/13/2020
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