Healthcare Provider Details
I. General information
NPI: 1952477614
Provider Name (Legal Business Name): PAY AND SAVE INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/27/2006
Last Update Date: 09/21/2022
Certification Date: 09/21/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
102 W WAYLON JENNINGS BLVD
LITTLEFIELD TX
79339-3806
US
IV. Provider business mailing address
1804 HALL AVE
LITTLEFIELD TX
79339-5439
US
V. Phone/Fax
- Phone: 806-385-4250
- Fax: 806-385-3303
- Phone: 806-385-3366
- Fax: 806-385-8629
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 333600000X |
| Taxonomy | Pharmacy |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3336C0003X |
| Taxonomy | Community/Retail Pharmacy |
| License Number | 10381 |
| License Number State | TX |
VIII. Authorized Official
Name: MR.
RONNIE
GENE
ROGERS
Title or Position: CFO/VP
Credential:
Phone: 806-385-3366