Provider Demographics
NPI:1346705175
Name:PARAGON PHARMACY SERVICES INC
Entity Type:Organization
Organization Name:PARAGON PHARMACY SERVICES INC
Other - Org Name:EXPRESS PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHEIF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:MEHUL
Authorized Official - Middle Name:NANUBHAI
Authorized Official - Last Name:PADSHALA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:256-335-1835
Mailing Address - Street 1:1111 E WASHINGTON AVE STE C
Mailing Address - Street 2:
Mailing Address - City:ESCONDIDO
Mailing Address - State:CA
Mailing Address - Zip Code:92025-2226
Mailing Address - Country:US
Mailing Address - Phone:760-755-7889
Mailing Address - Fax:760-755-7882
Practice Address - Street 1:1111 E WASHINGTON AVE STE C
Practice Address - Street 2:
Practice Address - City:ESCONDIDO
Practice Address - State:CA
Practice Address - Zip Code:92025-2226
Practice Address - Country:US
Practice Address - Phone:760-755-7880
Practice Address - Fax:760-755-7882
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-06
Last Update Date:2021-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy