MEDICARE: EXPRESS RX DISCOUNT PHARMACY

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	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1134100472
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EXPRESS RX DISCOUNT PHARMACY

Provider Business Mailing Address
First Line	:	7032 B EAST BRAINERD RD
Second Line	:
City	:	CHATTANOOGA
State	:	TN
Zip	:	37421
Country	:	US
Telephone Number	:	423-899-3278
Fax Number	:	423-648-0774

Provider Business Practice Location Address
First Line	:	7032 E BRAINERD RD
Second Line	:
City	:	CHATTANOOGA
State	:	TN
Zip	:	37421-3882
Country	:	US
Telephone Number	:	423-899-3278
Fax Number	:	423-648-0774

Authorized Official
Title or Position	:	OWNER
Name	:	MR. JAMES M REED
Credential	:
Telephone Number	:	423-899-3278

Provider Enumeration Date	:	11/11/2005
Last Update Date	:	08/22/2020

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