Organization
EXPRESS PHARMACY
Active
Other names
Express Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOEL OCRAN SARSAH PHARMD (OWNER)
(703) 494-8000
Entity
Organization
Contact information
Practice address
1690 OLD BRIDGE RD, WOODBRIDGE, VA 22192-8006
(703) 494-8000
(571) 572-3647
Mailing address
1690 OLD BRIDGE RD, WOODBRIDGE, VA 22192-8006
(703) 494-8000
(571) 572-3647
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
0201004491
VA
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
—
—
3336M0003X
Managed Care Organization Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1992057756
—
VA
Enumeration date
10/03/2012
Last updated
09/10/2021
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