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General NPI Number Information
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NPI Number | 1780724765
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Entity Type | Organization
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Legal Business Name | EXPRESS RX INC
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Dates
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Enumeration Date | 02/07/2007
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Last Update Date | 12/01/2016
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Provider Practice Location Address
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Address Line | 7032 E BRAINERD RD
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City | CHATTANOOGA
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State | TN
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Zip | 37421-3881
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Country | US
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Telephone | 423-899-3278
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Fax | 423-648-0774
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Provider Business Mailing Address
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Address Line | 7032 E BRAINERD RD
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City | CHATTANOOGA
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State | TN
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Zip | 37421-3881
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Country | US
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Telephone | 423-899-3278
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Fax | 423-648-0774
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Authorized Official
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Title or Position | OWNER
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Name | JAMES REED
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Credential |
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Telephone | 423-899-3278
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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 | 3855
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License Number State | TN
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