Provider Demographics
NPI:1467055061
Name:MANVEL EXPRESS PHARMACY LLC
Entity Type:Organization
Organization Name:MANVEL EXPRESS PHARMACY LLC
Other - Org Name:MANVEL EXPRESS PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP, HR
Authorized Official - Prefix:
Authorized Official - First Name:JANUARY
Authorized Official - Middle Name:
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:334-819-4511
Mailing Address - Street 1:3480 EASTERN BLVD
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36116-1700
Mailing Address - Country:US
Mailing Address - Phone:334-819-4500
Mailing Address - Fax:
Practice Address - Street 1:7900 FANNIN ST STE 1750
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-2959
Practice Address - Country:US
Practice Address - Phone:326-685-3588
Practice Address - Fax:832-668-5781
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-17
Last Update Date:2023-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy