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General NPI Number Information
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NPI Number | 1508278375
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Entity Type | Organization
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Legal Business Name | EXPRESS SPECIALTY PHARMACY LLC
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Dates
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Enumeration Date | 05/28/2014
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Last Update Date | 10/07/2025
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Provider Practice Location Address
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Address Line | 837 CYPRESS CREEK PKWY STE 105A
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City | HOUSTON
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State | TX
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Zip | 77090-3422
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Country | US
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Telephone | 281-453-7085
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Fax | 832-565-9265
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Provider Business Mailing Address
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Address Line | 837 CYPRESS CREEK PKWY STE 105A
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City | HOUSTON
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State | TX
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Zip | 77090-3422
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Country | US
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Telephone | 281-453-7085
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Fax | 832-565-9265
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Authorized Official
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Title or Position | MEMBER
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Name | SHAHER BANO ALI
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Credential |
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Telephone | 281-704-2874
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 29279
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License Number State | TX
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