Provider Demographics
NPI:1447329743
Name:CHAD'S PAYLESS PHARMACY INC
Entity type:Organization
Organization Name:CHAD'S PAYLESS PHARMACY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CHAD
Authorized Official - Middle Name:S
Authorized Official - Last Name:COHENOUR
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:256-766-3298
Mailing Address - Street 1:501 W COLLEGE ST
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:AL
Mailing Address - Zip Code:35630-5311
Mailing Address - Country:US
Mailing Address - Phone:256-766-3298
Mailing Address - Fax:256-766-3337
Practice Address - Street 1:501 W COLLEGE ST
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:AL
Practice Address - Zip Code:35630-5311
Practice Address - Country:US
Practice Address - Phone:256-766-3298
Practice Address - Fax:256-766-3337
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-08
Last Update Date:2023-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL111635332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL0106650Medicare UPIN
AL5354770001Medicare ID - Type Unspecified