# PAULS PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PAULS LTC PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265674097
- **Authorized official:** JACOB MAYER (PRESIDENT)
- **Authorized official phone:** (812) 426-5033

## Contact information

- **Practice address:** 4111 N SAINT JOSEPH AVE, EVANSVILLE, IN 47720-1206
- **Practice address phone:** (812) 426-5033
- **Practice address fax:** (812) 402-8920
- **Mailing address:** 4111 N ST JOSEPH AVE, EVANSVILLE, IN 47720
- **Mailing address phone:** (812) 426-5033
- **Mailing address fax:** (812) 402-8920

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | 60006285A | IN | Yes |

## Other

- **Enumeration date:** 03/25/2009
- **Last updated:** 08/20/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2135286 | PK | — |