Express Food & Pharmacy
LBN: Express Food And Pharmacy Inc
Express Food & Pharmacy is an health care organization with primary practice located at 3685 Braselton Hwy Ste 101102 , Dacula GA 30019-5920. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Express Food And Pharmacy Inc can be contacted via phone (678) 889-2131, or through Trivedi, Ketan via phone (678) 205-7038.
Contact Information
Primary practice address
3685 Braselton Hwy Ste 101102
Dacula GA 30019-5920
Phone: (678) 889-2131
Fax: (678) 889-2135
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PHRE010087 | Georgia |
| Suppliers / Compounding Pharmacy | 3336C0004X | ||
| Suppliers / Specialty Pharmacy | 3336S0011X |
Profile Details
| NPI number | 1295138204 |
|---|---|
| LBN Legal business name | Express Food And Pharmacy Inc |
| DBA Doing business as | Express Food & Pharmacy |
| Authorized official | Trivedi, Ketan |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 3rd, 2014 |
| Last updated | Nov 29th, 2016 - about 8 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295138204 | NPPES |
| Other | 2148304 | PK | |
| MEDICAID | 003154463A | PK |
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