Provider Demographics
NPI:1265400352
Name:CHAD'S PAYLESS PHARMACY, INC.
Entity type:Organization
Organization Name:CHAD'S PAYLESS PHARMACY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHARMACIST-IN-CHARGE
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANCES
Authorized Official - Middle Name:VIRGINIA
Authorized Official - Last Name:COHENOUR
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:256-766-3298
Mailing Address - Street 1:501 W COLLEGE STREET
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:AL
Mailing Address - Zip Code:35630
Mailing Address - Country:US
Mailing Address - Phone:256-766-3298
Mailing Address - Fax:256-766-3337
Practice Address - Street 1:501 W COLLEGE STREET
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:AL
Practice Address - Zip Code:35630
Practice Address - Country:US
Practice Address - Phone:256-766-3298
Practice Address - Fax:256-766-3337
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-14
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL22789332B00000X, 333600000X
AL111635332B00000X, 333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL009994075OtherMEDICAID DME
AL100003610Medicaid
AL009994075OtherMEDICAID DME
AL5354770001Medicare ID - Type Unspecified