Provider Demographics
NPI:1538718838
Name:XPRESS MED PHARMACY INC
Entity type:Organization
Organization Name:XPRESS MED PHARMACY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY/ RPH
Authorized Official - Prefix:DR
Authorized Official - First Name:MAHBOD
Authorized Official - Middle Name:
Authorized Official - Last Name:ZARGAR
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D
Authorized Official - Phone:714-790-0119
Mailing Address - Street 1:16929 BUSHARD ST
Mailing Address - Street 2:
Mailing Address - City:FOUNTAIN VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92708-2819
Mailing Address - Country:US
Mailing Address - Phone:714-790-0119
Mailing Address - Fax:714-369-2497
Practice Address - Street 1:16929 BUSHARD ST
Practice Address - Street 2:
Practice Address - City:FOUNTAIN VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92708-2819
Practice Address - Country:US
Practice Address - Phone:714-790-0119
Practice Address - Fax:714-369-2497
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-09
Last Update Date:2019-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy