Organization
EXPRESS SAVE-ON DRUGS LLC
Active
Organization
EXPRESS SAVE-ON DRUGS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM NANCE DHP (OWNER)
(731) 668-7529
Entity
Organization
Contact information
Practice address
622 W MARKET ST, BOLIVAR, TN 38008-2241
(731) 658-3973
(731) 658-5870
Mailing address
622 W MARKET ST, BOLIVAR, TN 38008-2241
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
0000000022
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4439724
OTHER ID NUMBER
—
Enumeration date
09/12/2006
Last updated
09/12/2007
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