Provider Demographics
NPI:1962380584
Name:EXPRESS PHARMACY & DME
Entity type:Organization
Organization Name:EXPRESS PHARMACY & DME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST-IN -CHARGE
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:W
Authorized Official - Last Name:AMOH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-981-9690
Mailing Address - Street 1:2750 S HAMILTON RD STE 19
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43232-5188
Mailing Address - Country:US
Mailing Address - Phone:614-495-9097
Mailing Address - Fax:
Practice Address - Street 1:2750 S HAMILTON RD STE 19
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43232-5188
Practice Address - Country:US
Practice Address - Phone:614-495-9097
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-22
Last Update Date:2025-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy