Provider Demographics
NPI:1861826067
Name:EXPRESS CARE PHARMACY LLC
Entity Type:Organization
Organization Name:EXPRESS CARE PHARMACY LLC
Other - Org Name:EXPRESS CARE PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF PHARMACY
Authorized Official - Prefix:
Authorized Official - First Name:AEMAD
Authorized Official - Middle Name:
Authorized Official - Last Name:ASLAM
Authorized Official - Suffix:
Authorized Official - Credentials:BPHARM MBA
Authorized Official - Phone:817-861-2273
Mailing Address - Street 1:905 MEDICAL CENTRE DR
Mailing Address - Street 2:SUITE B
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76012-4788
Mailing Address - Country:US
Mailing Address - Phone:817-861-2273
Mailing Address - Fax:817-861-2276
Practice Address - Street 1:905 MEDICAL CENTRE DR
Practice Address - Street 2:SUITE B
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76012-4788
Practice Address - Country:US
Practice Address - Phone:817-861-2273
Practice Address - Fax:817-861-2276
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-25
Last Update Date:2017-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX287543336C0003X
AZY0064553336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2141835OtherPK