# PAYLESS PHARMACY EXPRESS \#2, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114950235
- **Authorized official:** MR. JEFF D CAMP (OWNER)
- **Authorized official phone:** (256) 355-1815

## Contact information

- **Practice address:** 1517 MOULTON ST W, DECATUR, AL 35601-2149
- **Practice address phone:** (256) 355-1815
- **Practice address fax:** (256) 350-5300
- **Mailing address:** 1517 MOULTON ST W, DECATUR, AL 35601-2149
- **Mailing address phone:** (256) 355-1815
- **Mailing address fax:** (256) 350-5300

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 110475 | AL | Yes |

## Other

- **Enumeration date:** 07/09/2006
- **Last updated:** 01/11/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 000050305 | — | AL |
