Provider Demographics
NPI:1346525797
Name:MARC 1 DRUGS INC
Entity Type:Organization
Organization Name:MARC 1 DRUGS INC
Other - Org Name:PAYLESS PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/PIC
Authorized Official - Prefix:DR
Authorized Official - First Name:MARC
Authorized Official - Middle Name:T
Authorized Official - Last Name:HOANG
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D
Authorized Official - Phone:626-287-2889
Mailing Address - Street 1:8841 VALLEY BLVD
Mailing Address - Street 2:
Mailing Address - City:ROSEMEAD
Mailing Address - State:CA
Mailing Address - Zip Code:91770-1713
Mailing Address - Country:US
Mailing Address - Phone:626-287-2889
Mailing Address - Fax:626-457-8658
Practice Address - Street 1:8841 VALLEY BLVD
Practice Address - Street 2:
Practice Address - City:ROSEMEAD
Practice Address - State:CA
Practice Address - Zip Code:91770-1713
Practice Address - Country:US
Practice Address - Phone:626-287-2889
Practice Address - Fax:626-457-8658
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-17
Last Update Date:2011-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPHY 50705333600000X, 3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPHY50705OtherCALIFORNIA STATE BOARD OF PHARMACY RETAIL PERMIT