Provider Demographics
NPI:1871786517
Name:PHARMACY EXPRESS, INC.
Entity type:Organization
Organization Name:PHARMACY EXPRESS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SANDY
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:GREER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:256-722-9644
Mailing Address - Street 1:46 SHIELDS RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35811-7800
Mailing Address - Country:US
Mailing Address - Phone:256-547-6119
Mailing Address - Fax:256-546-2981
Practice Address - Street 1:302 N HOOD AVE
Practice Address - Street 2:
Practice Address - City:GADSDEN
Practice Address - State:AL
Practice Address - Zip Code:35903-1029
Practice Address - Country:US
Practice Address - Phone:256-547-6119
Practice Address - Fax:256-546-2981
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-27
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL238393336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL0134584OtherNCPDP
AL=========OtherTAX ID