EXPRESS AT NORTHSIDE LLC

ATLANTA, GA
NPI1285145789
Doing Business AsEXPRESS PHARMACY
Entity TypeOrganization
Authorized ContactKETAN TRIVEDI
Member
678-205-7038
Organization Subpart ?No
Primary Taxonomy3336C0003X Pharmacy, Community/Retail Pharmacy
(Licence: GA  PHRE010415)
Additional Taxonomies3336C0004X Pharmacy, Compounding Pharmacy
3336S0011X Pharmacy, Specialty Pharmacy
333600000X Pharmacy
Enumeration Date2017-10-24
Last Update Date2018-07-19
Business Address
EXPRESS AT NORTHSIDE LLC
296 NORTHSIDE DR SW
ATLANTA, GA 30313-1228
Phone number: 404-549-7762
Mailing Address
EXPRESS AT NORTHSIDE LLC
296 NORTHSIDE DR SW
ATLANTA, GA 30313-1228
Phone number: 404-549-7762