Provider Demographics
NPI:1134920952
Name:XPRESS CARE PHARMACY
Entity type:Organization
Organization Name:XPRESS CARE PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:P.I.C.
Authorized Official - Prefix:
Authorized Official - First Name:PRABHDEEP
Authorized Official - Middle Name:SINGH
Authorized Official - Last Name:SIDHU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-706-2400
Mailing Address - Street 1:4241 FLORIN RD STE 50A
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95823-2535
Mailing Address - Country:US
Mailing Address - Phone:916-706-2400
Mailing Address - Fax:
Practice Address - Street 1:4241 FLORIN RD STE 50A
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95823-2535
Practice Address - Country:US
Practice Address - Phone:916-706-2400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:XPRESS CARE PHARMACY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-03-19
Last Update Date:2025-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy