Provider Demographics
NPI:1174200372
Name:PAYLESS DRUGS, INC.
Entity type:Organization
Organization Name:PAYLESS DRUGS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:BOYD
Authorized Official - Last Name:ENNIS
Authorized Official - Suffix:JR
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:205-647-0515
Mailing Address - Street 1:2512 31ST AVE N
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35207-4424
Mailing Address - Country:US
Mailing Address - Phone:205-252-4179
Mailing Address - Fax:205-252-4170
Practice Address - Street 1:2512 31ST AVE N
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35207-4424
Practice Address - Country:US
Practice Address - Phone:205-252-4179
Practice Address - Fax:205-252-4170
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-29
Last Update Date:2023-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy