Is Midtown Express Pharmacy legit?

Midtown Express Pharmacy is a 503A compounding pharmacy based in Nashville, TN. It operates under state board of pharmacy licensure. Note: our records show 2 documented regulatory action(s) — see the Regulatory Actions section below.

Where is Midtown Express Pharmacy located?

Midtown Express Pharmacy is headquartered in Nashville, TN. The pharmacy is licensed to ship to 0 US states.

What does Midtown Express Pharmacy produce?

Midtown Express Pharmacy produces a range of compounded medications in addition to other compounded preparations. As a 503A pharmacy, it dispenses compounded medications in response to individual patient prescriptions under state board of pharmacy oversight.

What is the difference between 503A and 503B?

503A pharmacies prepare compounded medications for individual patients in response to specific prescriptions and are regulated primarily by state boards of pharmacy under USP sterile compounding standards. 503B outsourcing facilities register directly with the FDA, follow current Good Manufacturing Practices (cGMP), and can produce compounded medications in larger batches without patient-specific prescriptions. 503B facilities are subject to FDA inspection.

Compounding Pharmacy · Nashville, TN · 503A

Midtown Express Pharmacy Review

Midtown Express Pharmacy is a non-sterile compounding pharmacy in Nashville, Tennessee, founded in 2012 by Brian Williams, PharmD. Specializes in retail, long-term care, and non-sterile compounded preparations (including LDN, hormone, and oral weight-management formulations). Does NOT compound sterile injectables, so injectable compounded semaglutide and tirzepatide are not produced here — only non-injectable oral or sublingual forms if offered. Licensed in 32 states; legal entity is Dunklau Pharmacy Holdings, LLC.

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503AState pharmacy license

Location: Nashville, TN

Website: www.midtownexpresspharmacy.com

States licensed: 0

4.0

Weight Loss Rankings Score

out of 10

About this pharmacy

Certifications & Compliance

All sterile compounding pharmacies in the United States are required to follow United States Pharmacopeia General Chapter <797> sterile compounding standards^[4], with finished preparations evaluated against USP <71> sterility testing^[5] and USP <85> bacterial endotoxin testing^[6] as appropriate for the product type.

State pharmacy license

Additional certification disclosed by the pharmacy.

Drugs Produced

—

Semaglutide

Not produced

—

Tirzepatide

Not produced

States Licensed (0)

Regulatory Actions

2024-07-XX

Named in Novo Nordisk Inc. v. Dunklau Pharmacy Holdings LLC dba Midtown Express (M.D. Tenn. 2024). Complaint alleged trademark infringement on Ozempic claims.

2026-05-23

Non-sterile compounding only — cannot produce injectable semaglutide/tirzepatide.

Weight Loss Rankings Score Breakdown

Accreditation & Compliance6/10

Regulatory Standing5/10

State Coverage0/10

GLP-1 Production0/10

Track Record5/10

Scores are independently researched. See our methodology for details.

Low confidence · Last verified 2026-05-23 via pharmacy-directory-cross-state-audit-2026-05-23 · How we verify provider data

Frequently Asked Questions

Glossary references

Key terms in this article, linked to their canonical definitions.

Semaglutide · Drugs and brands
Tirzepatide · Drugs and brands
Compounded GLP-1 · Pharmacy and drug forms
503A pharmacy · Pharmacy and drug forms
503B outsourcing facility · Pharmacy and drug forms
PCAB accreditation · Pharmacy and drug forms
Off-label use · Insurance and regulatory
FDA Drug Shortage List · Insurance and regulatory

See Top Semaglutide Providers All Pharmacies

Sources & methodology — as of May 2026

1.FDA — Compounding and the 503A Pharmacy Framework— U.S. Food & Drug Administration.
2.FDA — 503B Outsourcing Facility Registration and Requirements— U.S. Food & Drug Administration.
3.PCAB — Pharmacy Compounding Accreditation Board Standards— Accreditation Commission for Health Care (ACHC) / PCAB.
4.USP General Chapter <797> — Pharmaceutical Compounding: Sterile Preparations— United States Pharmacopeia.
5.USP General Chapter <71> — Sterility Tests— United States Pharmacopeia.
6.USP General Chapter <85> — Bacterial Endotoxins Test— United States Pharmacopeia.
7.FDA — Drug Shortages Database (current shortage listings)— U.S. Food & Drug Administration.