Provider Demographics
NPI:1346697521
Name:THRIFTY PAYLESS INC
Entity Type:Organization
Organization Name:THRIFTY PAYLESS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CHUMA
Authorized Official - Middle Name:CANICE
Authorized Official - Last Name:DURU
Authorized Official - Suffix:JR
Authorized Official - Credentials:PHARM D
Authorized Official - Phone:972-900-6539
Mailing Address - Street 1:1908 APPALACHIA DR
Mailing Address - Street 2:
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75149-8614
Mailing Address - Country:US
Mailing Address - Phone:972-900-6539
Mailing Address - Fax:
Practice Address - Street 1:1411 KETTNER BLVD
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92101-2420
Practice Address - Country:US
Practice Address - Phone:619-231-7405
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-18
Last Update Date:2016-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA745243336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy