MEDICARE: THINK EXPRESS PHARMACY 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	3336C0004X	Compounding Pharmacy
2	332B00000X	Durable Medical Equipment & Medical Supplies
3	333600000X	Pharmacy
4	3336C0003X	Community/Retail Pharmacy	28RS00709900	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	3197604	OTHER		NCPDP PROVIDER IDENTIFICATION NUMBER

General Provider Information

NPI Number	:	1821393265
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THINK EXPRESS PHARMACY LLC

Provider Business Mailing Address
First Line	:	2707 MORRIS AVE
Second Line	:
City	:	UNION
State	:	NJ
Zip	:	07083-4823
Country	:	US
Telephone Number	:	908-258-7002
Fax Number	:	908-258-7007

Provider Business Practice Location Address
First Line	:	2707 MORRIS AVE
Second Line	:
City	:	UNION
State	:	NJ
Zip	:	07083-4823
Country	:	US
Telephone Number	:	908-258-7002
Fax Number	:	908-258-7007

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DARSHANA PARIKH
Credential	:
Telephone Number	:	732-619-7241

Provider Enumeration Date	:	01/16/2011
Last Update Date	:	02/28/2011

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Directions to “THINK EXPRESS PHARMACY LLC ” Practice Location

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