MEDICARE: GLOBAL EXPRESS 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	:	1245655364
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GLOBAL EXPRESS PHARMACY, INC.

Provider Business Mailing Address
First Line	:	10596 GARDEN GROVE BLVD
Second Line	:
City	:	GARDEN GROVE
State	:	CA
Zip	:	92843-1163
Country	:	US
Telephone Number	:	714-462-4480
Fax Number	:	714-462-4490

Provider Business Practice Location Address
First Line	:	10596 GARDEN GROVE BLVD
Second Line	:
City	:	GARDEN GROVE
State	:	CA
Zip	:	92843-1163
Country	:	US
Telephone Number	:	714-462-4480
Fax Number	:	714-462-4490

Authorized Official
Title or Position	:	CEO/PHARMACIST
Name	:	DR. TUAN NGOC LA
Credential	:
Telephone Number	:	714-462-4480

Provider Enumeration Date	:	02/26/2014
Last Update Date	:	09/18/2015

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