| NPI | 1316008188 |
|---|---|
| Doing Business As | PROPAC PAYLESS PHARMACY |
| Entity Type | Organization |
| Authorized Contact | TERESA COLEMAN Director Of Rev Cycle Mgmnt 800-330-3665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy (Licence: OR RP0002006CS) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0003X Pharmacy Community/Retail Pharmacy | |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2018-07-19 |