Organization
EXPRESS DRUGS OF SAVANNAH LLC
Active
Other names
Express Drugs HealthMart Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MINH THAI PHARMD (MANAGER, AO)
(917) 916-3153
Entity
Organization
Contact information
Practice address
824 E DE RENNE AVE, SAVANNAH, GA 31405-6717
(912) 777-3230
(912) 436-6616
Mailing address
824 E DERENNE AVE, SAVANNAH, GA 31405-6717
(912) 777-3230
(912) 436-6616
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHRE010267
GA
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003173707A
—
GA
01
—
2158281
PK
—
Enumeration date
02/25/2016
Last updated
04/06/2016
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