Provider Demographics
NPI:1538290507
Name:EXPRESS CARE PHARMACY
Entity type:Organization
Organization Name:EXPRESS CARE PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST-IN-CHARGE
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:PATRICK
Authorized Official - Last Name:ROBINETTE
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:972-475-6610
Mailing Address - Street 1:1700 DALROCK RD
Mailing Address - Street 2:
Mailing Address - City:ROWLETT
Mailing Address - State:TX
Mailing Address - Zip Code:75088-5501
Mailing Address - Country:US
Mailing Address - Phone:972-475-6610
Mailing Address - Fax:214-703-2638
Practice Address - Street 1:1700 DALROCK RD
Practice Address - Street 2:
Practice Address - City:ROWLETT
Practice Address - State:TX
Practice Address - Zip Code:75088-5501
Practice Address - Country:US
Practice Address - Phone:972-475-6610
Practice Address - Fax:214-703-2638
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-08
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX212873336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX145118Medicaid
4520498OtherNCPDP NUMBER
4520498OtherNCPDP NUMBER