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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