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General NPI Number Information
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NPI Number | 1619240942
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Entity Type | Organization
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Legal Business Name | RX EXPRESS PHARMACY OF MILTON INC
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Dates
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Enumeration Date | 02/16/2012
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Last Update Date | 10/29/2025
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Provider Practice Location Address
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Address Line | 5987 BERRYHILL RD
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City | MILTON
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State | FL
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Zip | 32570-4043
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Country | US
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Telephone | 850-623-6337
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Fax | 850-623-6339
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Provider Business Mailing Address
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Address Line | 5987 BERRYHILL RD
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City | MILTON
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State | FL
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Zip | 32570-4043
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Country | US
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Telephone | 850-623-6337
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Fax | 850-623-6339
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Authorized Official
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Title or Position | PRESIDENT/PHARMACY MANAGER
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Name | MATTHEW WALTERS
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Credential |
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Telephone | 850-637-6844
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PH25939
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License Number State | FL
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