Provider Demographics
NPI:1902617251
Name:PHARMACY EXPRESS
Entity type:Organization
Organization Name:PHARMACY EXPRESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FATIHA
Authorized Official - Middle Name:
Authorized Official - Last Name:FDIL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-601-3841
Mailing Address - Street 1:7 TOMMYS LN
Mailing Address - Street 2:
Mailing Address - City:BROOKFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06804-1616
Mailing Address - Country:US
Mailing Address - Phone:646-601-3841
Mailing Address - Fax:
Practice Address - Street 1:171 E MAIN ST
Practice Address - Street 2:
Practice Address - City:WATERBURY
Practice Address - State:CT
Practice Address - Zip Code:06702-2300
Practice Address - Country:US
Practice Address - Phone:646-601-3841
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-16
Last Update Date:2025-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy