Organization
STANLEY R OR SHERRIE D PAYNE
Active
Other names
PAYNE FAMILY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DENICE PAYNE RPH (OWNER)
(806) 983-5111
Entity
Organization
Contact information
Practice address
200 S MAIN ST, FLOYDADA, TX 79235-2726
(806) 983-5111
(806) 983-2819
Mailing address
200 S MAIN ST, FLOYDADA, TX 79235-2726
(806) 983-5111
(806) 983-2819
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
15796
TX
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
144045
—
TX
01
—
2102375
PK
—
Enumeration date
11/03/2006
Last updated
12/05/2016
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