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General NPI Number Information
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NPI Number | 1710074919
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Entity Type | Organization
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Legal Business Name | EXPRESS SCRIPTS PHARMACY INC
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Dates
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Enumeration Date | 10/07/2006
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Last Update Date | 08/06/2025
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Provider Practice Location Address
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Address Line | 11000 PARKER DR
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City | NORTH HUNTINGDON
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State | PA
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Zip | 15642-1634
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Country | US
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Telephone | 724-765-3000
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Fax | 724-765-3186
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Provider Business Mailing Address
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Address Line | 11000 PARKER DR
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City | NORTH HUNTINGDON
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State | PA
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Zip | 15642-1634
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Country | US
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Telephone | 724-765-3000
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Fax | 724-765-3186
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Authorized Official
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Title or Position | ASSISTANT SECRETARY
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Name | SUSAN PEPPERS
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Credential |
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Telephone | 513-858-4916
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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 | 3336M0002X
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Taxonomy Name | Mail Order Pharmacy
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License Number | PP414168L
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License Number State | PA
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