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General NPI Number Information
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NPI Number | 1568258382
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Entity Type | Organization
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Legal Business Name | EXPRESSMED PHARMACY INC.
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Dates
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Enumeration Date | 04/17/2025
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Last Update Date | 12/15/2025
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Provider Practice Location Address
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Address Line | 557 E 137TH ST
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City | BRONX
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State | NY
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Zip | 10454-4202
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Country | US
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Telephone | 929-295-6126
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Fax |
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Provider Business Mailing Address
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Address Line | 557 E 137TH ST
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City | BRONX
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State | NY
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Zip | 10454-4202
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Country | US
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Telephone | 929-295-6126
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Fax | 347-236-3434
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Authorized Official
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Title or Position | PRESIDENT
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Name | EDUARD ZAVLYANOV
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Credential |
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Telephone | 929-295-6126
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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 |
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License Number State |
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