| NPI | 1952952871 |
|---|---|
| Doing Business As | EXPRESS RX OF FAYETTE |
| Entity Type | Organization |
| Authorized Contact | GALEN PERKINS Member 501-258-4399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2019-09-23 |
| Last Update Date | 2020-08-18 |