Organization
EXPRESS PHARMACY INC
Active
Other names
EXPRESS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
BHUPENDRA MAVANI B. PHARM (PHARMACIST, OWNER)
(909) 398-1289
Entity
Organization
Contact information
Practice address
752 E ARROW HWY, POMONA, CA 91767-2247
(909) 398-1289
(909) 398-1291
Mailing address
752 E ARROW HWY, POMONA, CA 91767-2247
(909) 398-1289
(909) 398-1291
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY43540
CA
3336L0003X
Long Term Care Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1995190
PK
—
05
—
PHA435400
—
CA
Enumeration date
09/20/2006
Last updated
08/06/2025
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