Organization
EXPRESS AID PHARMACY SERVICES LLC
Active
Other names
EXPRESS AID PHARMACY SERVICES LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ELOY ORTEGA RPH (OWNER,RPH,AO)
(954) 639-7030
Entity
Organization
Contact information
Practice address
5892 STIRLING RD STE 2, HOLLYWOOD, FL 33021-1541
(954) 639-7030
(954) 613-3901
Mailing address
5892 STIRLING RD STE 2, HOLLYWOOD, FL 33021-1541
(954) 639-7030
(954) 613-3901
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH29147
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2155143
PK
—
Enumeration date
10/27/2015
Last updated
01/13/2016
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