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General NPI Number Information
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NPI Number | 1972842870
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Entity Type | Organization
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Legal Business Name | EXPRESS PHARMACY CORP
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Dates
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Enumeration Date | 02/12/2013
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Last Update Date | 09/19/2025
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Provider Practice Location Address
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Address Line | 9833 PINES BLVD
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City | PEMBROKE PINES
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State | FL
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Zip | 33024-6100
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Country | US
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Telephone | 954-436-2359
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Fax | 954-436-2364
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Provider Business Mailing Address
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Address Line | 9833 PINES BLVD
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City | PEMBROKE PINES
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State | FL
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Zip | 33024-6100
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Country | US
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Telephone | 954-436-2359
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Fax | 954-436-2364
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Authorized Official
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Title or Position | OWNER, PIC
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Name | RANIA SUNNA
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Credential | RPH
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Telephone | 954-881-9551
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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 | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PH26664
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License Number State | FL
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