MEDICARE: RX EXPRESS 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	:	1891428132
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RX EXPRESS LLC

Provider Business Mailing Address
First Line	:	1270 CRABB RIVER RD STE 800
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77469-5635
Country	:	US
Telephone Number	:	281-937-7483
Fax Number	:

Provider Business Practice Location Address
First Line	:	1270 CRABB RIVER RD STE 800
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77469-5635
Country	:	US
Telephone Number	:	281-937-7483
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SWANISHA HENRY
Credential	:
Telephone Number	:	346-363-8594

Provider Enumeration Date	:	07/05/2022
Last Update Date	:	07/05/2022

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Directions to “RX EXPRESS LLC ” Practice Location

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