Organization · Type 2 NPI

Southern Express Pharmacy

Pharmacy · Bolivar, TN

NPI number 1073078481 Active

Practice location

1355 W Market St
Bolivar, TN 38008-1715

Fax (423) 661-7602

Specialties and licenses

TaxonomyCodeLicense
Pharmacy Primary 333600000XNone listed

Pharmacy: A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is lo…

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About NPI 1073078481

Southern Express Pharmacy's National Provider Identifier is 1073078481, issued on Feb 10, 2019. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Bolivar, TN. The record was last updated on Aug 2, 2019.