Organization
PAYLESS PHARMACY EXPRESS #2, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFF D CAMP (VICE PRESIDENT)
(256) 355-1815
Entity
Organization
Contact information
Practice address
1517 MOULTON ST W, DECATUR, AL 35601-2149
(256) 355-1815
(256) 350-5300
Mailing address
1517 MOULTON ST W, DECATUR, AL 35601-2149
(256) 355-1815
(256) 350-5300
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
110475
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100002705
—
AL
Enumeration date
12/13/2006
Last updated
01/11/2012
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