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General NPI Number Information
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NPI Number | 1730503889
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Entity Type | Organization
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Legal Business Name | EXPRESS SPECIALTY PHARMACY
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Dates
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Enumeration Date | 02/10/2014
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Last Update Date | 08/29/2025
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Provider Practice Location Address
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Address Line | 902 W LUMSDEN RD STE 104
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City | BRANDON
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State | FL
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Zip | 33511-8806
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Country | US
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Telephone | 813-288-0777
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Fax | 888-494-7084
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Provider Business Mailing Address
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Address Line | 902 W LUMSDEN RD STE 104
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City | BRANDON
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State | FL
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Zip | 33511-8806
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Country | US
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Telephone | 813-288-0777
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Fax | 888-494-7084
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Authorized Official
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Title or Position | OWNER, PIC
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Name | OSAMA AL NAJJAR
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Credential | RPH
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Telephone | 813-418-9991
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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 | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PH27119
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License Number State | FL
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