Organization
EXPRESS PLUS PHARMACY
Active
Organization
EXPRESS PLUS PHARMACY
Active
Other names
Express Plus Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ANTONIO PRIMO (MANAGING MEMBER)
(305) 505-3070
Entity
Organization
Contact information
Practice address
2950 SW 27TH AVE STE 300, MIAMI, FL 33133-3765
(954) 589-0790
(954) 416-6132
Mailing address
2950 SW 27TH AVE STE 300, MIAMI, FL 33133-3765
(954) 589-0790
(954) 416-6132
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH25373
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003670700
—
FL
01
—
2129776
PK
—
Enumeration date
03/24/2011
Last updated
12/06/2016
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