Provider Demographics
NPI:1528895265
Name:RX EXPRESS PHARMACY OF NAVARRE INC
Entity type:Organization
Organization Name:RX EXPRESS PHARMACY OF NAVARRE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PIC
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:MCMELLON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:850-936-6446
Mailing Address - Street 1:8986 ORTEGA PARK DR
Mailing Address - Street 2:
Mailing Address - City:NAVARRE
Mailing Address - State:FL
Mailing Address - Zip Code:32566-4141
Mailing Address - Country:US
Mailing Address - Phone:850-936-6446
Mailing Address - Fax:850-806-1859
Practice Address - Street 1:8986 ORTEGA PARK DR
Practice Address - Street 2:
Practice Address - City:NAVARRE
Practice Address - State:FL
Practice Address - Zip Code:32566-4141
Practice Address - Country:US
Practice Address - Phone:850-936-6446
Practice Address - Fax:850-806-1859
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-17
Last Update Date:2024-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy