MEDICARE: XPRESS PHARMACY INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1114650959
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	XPRESS PHARMACY INC

Provider Business Mailing Address
First Line	:	23000 TELEGRAPH RD
Second Line	:
City	:	FLAT ROCK
State	:	MI
Zip	:	48134-9265
Country	:	US
Telephone Number	:	734-927-2695
Fax Number	:

Provider Business Practice Location Address
First Line	:	23000 TELEGRAPH RD
Second Line	:
City	:	FLAT ROCK
State	:	MI
Zip	:	48134-9265
Country	:	US
Telephone Number	:	734-927-2695
Fax Number	:

Authorized Official
Title or Position	:	PROVIDER
Name	:	LAYAL KATRIB
Credential	:	PHARMD
Telephone Number	:	616-581-6116

Provider Enumeration Date	:	07/08/2022
Last Update Date	:	07/08/2022

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Directions to “XPRESS PHARMACY INC ” Practice Location

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