Healthcare Provider Details

I. General information

NPI: 1487714622
Provider Name (Legal Business Name): PAY AND SAVE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/11/2006
Last Update Date: 09/22/2022
Certification Date: 09/22/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

310 E AUSTIN ST
KERMIT TX
79745-3023
US

IV. Provider business mailing address

PO BOX 1430
LITTLEFIELD TX
79339-1430
US

V. Phone/Fax

Practice location:
  • Phone: 432-586-3479
  • Fax: 432-586-5709
Mailing address:
  • Phone: 804-385-3366
  • Fax: 806-385-8629

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number4719
License Number StateTX

VIII. Authorized Official

Name: RONALD ROGERS
Title or Position: VP AND CFO
Credential:
Phone: 806-385-3366