Provider Demographics
NPI:1609212463
Name:PHARMXPRESS LLC
Entity Type:Organization
Organization Name:PHARMXPRESS LLC
Other - Org Name:PHARMXPRESS PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JACQUELINE
Authorized Official - Middle Name:
Authorized Official - Last Name:PHILLIPS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-406-4491
Mailing Address - Street 1:23904 STATE ROAD 54 STE 102
Mailing Address - Street 2:
Mailing Address - City:LUTZ
Mailing Address - State:FL
Mailing Address - Zip Code:33559-6796
Mailing Address - Country:US
Mailing Address - Phone:813-406-4491
Mailing Address - Fax:813-406-4493
Practice Address - Street 1:23904 STATE ROAD 54 STE 102
Practice Address - Street 2:
Practice Address - City:LUTZ
Practice Address - State:FL
Practice Address - Zip Code:33559-6796
Practice Address - Country:US
Practice Address - Phone:813-406-4491
Practice Address - Fax:813-406-4493
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-20
Last Update Date:2013-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies