Healthcare Provider Details

I. General information

NPI: 1619240942
Provider Name (Legal Business Name): RX EXPRESS PHARMACY OF MILTON INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/16/2012
Last Update Date: 10/29/2025
Certification Date: 10/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5987 BERRYHILL RD
MILTON FL
32570-4043
US

IV. Provider business mailing address

5987 BERRYHILL RD
MILTON FL
32570-4043
US

V. Phone/Fax

Practice location:
  • Phone: 850-623-6337
  • Fax: 850-623-6339
Mailing address:
  • Phone: 850-623-6337
  • Fax: 850-623-6339

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPH25939
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MATTHEW WALTERS
Title or Position: PRESIDENT/PHARMACY MANAGER
Credential:
Phone: 850-637-6844