Provider Demographics
NPI:1972229961
Name:NEALS EXPRESS PHARMACY LLC
Entity type:Organization
Organization Name:NEALS EXPRESS PHARMACY LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:NEAL
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:601-479-9008
Mailing Address - Street 1:3500 8TH ST
Mailing Address - Street 2:
Mailing Address - City:MERIDIAN
Mailing Address - State:MS
Mailing Address - Zip Code:39301-4751
Mailing Address - Country:US
Mailing Address - Phone:601-453-2345
Mailing Address - Fax:888-385-3089
Practice Address - Street 1:3500 8TH ST
Practice Address - Street 2:
Practice Address - City:MERIDIAN
Practice Address - State:MS
Practice Address - Zip Code:39301-4751
Practice Address - Country:US
Practice Address - Phone:601-453-2345
Practice Address - Fax:888-385-3089
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-12
Last Update Date:2023-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy