Organization
EXPRESS CARE PHARMACY LLC
Active
Other names
EXPRESS CARE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MAHESH PALADUGU (PRESIDENT)
(610) 351-2273
Entity
Organization
Contact information
Practice address
1727 W LIBERTY ST, UNIT 2, ALLENTOWN, PA 18104-5027
(610) 351-2273
(610) 351-2274
Mailing address
1727 W LIBERTY ST, UNIT 2, ALLENTOWN, PA 18104-5027
(610) 351-2273
(610) 351-2274
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PP482350
PA
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102790868
—
PA
01
—
2138578
PK
—
Enumeration date
01/16/2013
Last updated
11/10/2021
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