Organization
PAYNES PRESCRIPTION PHARMACY INC
Active
Organization
PAYNES PRESCRIPTION PHARMACY INC
Active
Other names
PAYNES PRESCRIPTION PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JIM PAYNE (OWNER)
(574) 967-3762
Entity
Organization
Contact information
Practice address
53 S CENTER ST, FLORA, IN 46929-1315
(574) 967-3762
(574) 967-4389
Mailing address
53 S CENTER ST, FLORA, IN 46929-1315
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
60001659A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100294160
—
IN
01
—
1507930
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
08/31/2006
Last updated
03/13/2009
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