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:
Map and Directions
Authorized official contact:
Name: Trivedi, Ketan
Phone: (678) 205-7038

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295138204 NPPES
Other 2148304 PK
MEDICAID 003154463A PK

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