Healthcare Provider Details

I. General information

NPI: 1215084561
Provider Name (Legal Business Name): PAYLESS DRUGS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/05/2007
Last Update Date: 04/10/2020
Certification Date: 04/10/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4901 GARY AVE
FAIRFIELD AL
35064-1348
US

IV. Provider business mailing address

4901 GARY AVE
FAIRFIELD AL
35064-1348
US

V. Phone/Fax

Practice location:
  • Phone: 205-785-4343
  • Fax: 205-785-4344
Mailing address:
  • Phone: 205-785-4343
  • Fax: 205-785-4344

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number103825
License Number StateAL

VIII. Authorized Official

Name: DR. ARTHUR BOYD ENNIS JR.
Title or Position: PRESIDENT
Credential: PHARMD
Phone: 205-647-0515