Provider Demographics
NPI:1558041020
Name:PAYLESS PHARMACY LLC
Entity Type:Organization
Organization Name:PAYLESS PHARMACY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST / OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FARZAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SIDDIQUI
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:908-587-2000
Mailing Address - Street 1:222 N WOOD AVE
Mailing Address - Street 2:
Mailing Address - City:LINDEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07036-4220
Mailing Address - Country:US
Mailing Address - Phone:908-587-2000
Mailing Address - Fax:908-357-2960
Practice Address - Street 1:222 N WOOD AVE
Practice Address - Street 2:
Practice Address - City:LINDEN
Practice Address - State:NJ
Practice Address - Zip Code:07036-4220
Practice Address - Country:US
Practice Address - Phone:908-587-2000
Practice Address - Fax:908-357-2960
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-20
Last Update Date:2023-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy