Expressway Pharmacy LLC

Organization Active NPI Community/Retail Pharmacy · Donna, TX

NPI 1992958854 · NPPES record last updated Nov 7, 2012

Key facts

NPI
1992958854
Entity type
Organization (NPI type 2)
Primary specialty
Community/Retail Pharmacy 3336C0003X
License
26226 (TX)
Legal business name
EXPRESSWAY PHARMACY LLC
Practice address
702 E Expressway 83
Ste A1
Donna, TX 78537-2741
Phone
(956) 464-7600
Fax
(956) 464-7601
NPI assigned
Oct 23, 2008
Organization subpart
No

Authorized official

Name
Mario Trevino
Title
Pic
Phone
(956) 464-7600

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 26226 TX Yes

Addresses

Primary practice location

702 E Expressway 83
Ste A1
Donna, TX 78537-2741

Mailing address

702 E Expressway 83
Ste A1
Donna, TX 78537-2741
Phone (956) 464-7600

Other identifiers

IdentifierTypeStateIssuer
4550302OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names

  • Expressway Pharmacy Doing business as

Other providers in Donna, TX

All providers in Donna, TX · Community/Retail Pharmacy in Texas

Sources for this page

Verify at the official NPI Registry.