Organization
EXPRESS MEDICAL PHARMACY LLC
Active
Other names
Medicine Shoppe
Organization subpart
No
Provider details
NPI number
Authorized official
HIBA ALHALABI (OWNER PHARMACIST IN CHARGE)
(618) 973-3879
Entity
Organization
Contact information
Practice address
1 ROYAL HEIGHTS CTR, BELLEVILLE, IL 62226-5705
(800) 633-4227
(618) 641-9801
Mailing address
1010 DEVONWORTH MANOR WAY, TOWN AND COUNTRY, MO 63017-8548
(618) 973-3879
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
2018005586
MO
3336C0004X
Compounding Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
—
—
3336S0011X
Specialty Pharmacy
Primary
054019416
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2164622
PK
—
05
—
3489444326222601
—
IL
Enumeration date
10/14/2016
Last updated
09/19/2025
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