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General NPI Number Information
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NPI Number | 1740104462
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Entity Type | Organization
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Legal Business Name | EXPRESS PHARMACY LLC
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Dates
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Enumeration Date | 08/05/2026
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Last Update Date | 08/05/2026
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Provider Practice Location Address
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Address Line | 416 SICKLERVILLE RD UNIT C1
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City | SICKLERVILLE
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State | NJ
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Zip | 08081-2556
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Country | US
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Telephone | 856-566-1100
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Fax |
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Provider Business Mailing Address
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Address Line | 416 SICKLERVILLE RD UNIT C1
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City | SICKLERVILLE
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State | NJ
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Zip | 08081-2556
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Country | US
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Telephone | 856-566-1100
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | SIDRA TAHER
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Credential |
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Telephone | 856-566-1100
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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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