MEDICARE: EXPRESS DRUG LLC

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	:	1528942802
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EXPRESS DRUG LLC

Provider Business Mailing Address
First Line	:	12032 S WESTERN AVE
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73170-5910
Country	:	US
Telephone Number	:	405-735-3950
Fax Number	:

Provider Business Practice Location Address
First Line	:	1024 SW 44TH ST STE 700
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73109-3618
Country	:	US
Telephone Number	:	405-631-9625
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	CHRISTOPHER ALLEN PHILLIPS
Credential	:
Telephone Number	:	405-735-3950

Provider Enumeration Date	:	08/01/2025
Last Update Date	:	08/01/2025

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Directions to “EXPRESS DRUG LLC ” Practice Location

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