Provider Demographics
NPI:1790224004
Name:PAY RX INC
Entity Type:Organization
Organization Name:PAY RX INC
Other - Org Name:PAYLESS RX PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:FAROOQ
Authorized Official - Middle Name:
Authorized Official - Last Name:KHALID
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-982-5897
Mailing Address - Street 1:567 W 207TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10034-2607
Mailing Address - Country:US
Mailing Address - Phone:212-544-0020
Mailing Address - Fax:212-544-0122
Practice Address - Street 1:567 W 207TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10034-2607
Practice Address - Country:US
Practice Address - Phone:212-544-0020
Practice Address - Fax:212-544-0122
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-20
Last Update Date:2017-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy