| NPI | 1053609354 |
|---|---|
| Doing Business As | EXPRESS PHARMACY |
| Entity Type | Organization |
| Authorized Contact | RUBEN FATAKHOV President 718-997-7444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 030750) |
| Enumeration Date | 2011-07-20 |
| Last Update Date | 2011-12-13 |