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Contact Information

PAYLESS PHARMACY INC
2860 DEL PASO RD STE 250
SACRAMENTO, CA95834-9717
 Phone: 916-624-9900
 Fax: 916-624-9901
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Compounding Pharmacy

3336C0004X 58 Medical Supply Company with Pharmacist
 

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
 

Managed Care Organization Pharmacy

3336M0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for PAYLESS PHARMACY INC

NPI Number 1669762944
LBN Legal business name PAYLESS PHARMACY INC
Authorized official KINGSLEY OTI - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 04/07/2011
Last updated 05/17/2022 - About 4 years ago
Identifiers
CA License # 51144
CA Medicaid 1669762944
Other 2131997 PK
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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