Organization
EXPRESS PHARMACY INC
Active
Other names
Express Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JO SEUNG KIM RPH (OWNER)
(678) 702-1263
Entity
Organization
Contact information
Practice address
3182 STEVE REYNOLDS BLVD STE 106, DULUTH, GA 30096-4505
(770) 557-0306
(470) 395-9398
Mailing address
3182 STEVE REYNOLDS BLVD STE 106, DULUTH, GA 30096-4505
(770) 557-0306
(470) 395-9398
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PHRE010069
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003151326A
—
GA
Enumeration date
06/27/2014
Last updated
11/01/2021
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