Pharmacy Express is a fraud.  There is ample evidence of the criminality at 
the Spamtrackers site entry for Pharmacy Express.
It was set up by Leo Kuvayev, who was last reported as serving time in a Russian prison for the molestation of Russian orphan children His conviction has been covered at 
the spamtrackers wiki entry, and also by 
a report at SophosLists of spammed domain names are regularly posted in the forum at 
Web Of Trust (WOT)But the spam and the fraud continues unabated.  It is time to turn the spotlight on this operation.
EDIT: SiL fixed a busted URL tag in this post.