Provider Demographics
NPI:1952477614
Name:PAY AND SAVE INC
Entity Type:Organization
Organization Name:PAY AND SAVE INC
Other - Org Name:FOOD KING PHARMACY #8
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO/VP
Authorized Official - Prefix:MR
Authorized Official - First Name:RONNIE
Authorized Official - Middle Name:GENE
Authorized Official - Last Name:ROGERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:806-385-3366
Mailing Address - Street 1:1804 HALL AVE
Mailing Address - Street 2:
Mailing Address - City:LITTLEFIELD
Mailing Address - State:TX
Mailing Address - Zip Code:79339-5439
Mailing Address - Country:US
Mailing Address - Phone:806-385-3366
Mailing Address - Fax:806-385-8629
Practice Address - Street 1:102 W WAYLON JENNINGS BLVD
Practice Address - Street 2:
Practice Address - City:LITTLEFIELD
Practice Address - State:TX
Practice Address - Zip Code:79339-3806
Practice Address - Country:US
Practice Address - Phone:806-385-4250
Practice Address - Fax:806-385-3303
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-27
Last Update Date:2022-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
TX103813336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX142518Medicaid
2098157OtherPK