| NPI | 1093799843 |
|---|---|
| Doing Business As | PROPAC PAYLESS PHARMACY |
| Doing Business As | PROPACPAYLESS PHARMACY |
| Entity Type | Organization |
| Authorized Contact | STEPHEN A LARIVIERE Chief Compliance Officer 502-627-7404 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: WA PHAR.CF60408436) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2005-12-05 |
| Last Update Date | 2019-05-24 |