Payless Markets Inc
Organization Active NPI Community/Retail Pharmacy · Dededo, GU
NPI 1467564385 · NPPES record last updated Mar 18, 2013
Key facts
- NPI
- 1467564385
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- PCY026 (GU)
- Legal business name
- PAYLESS MARKETS INC
- Practice address
- 214 W Marine Corps Dr
Rte 1
Dededo, GU 96929-5913 - Phone
- (671) 637-9783
- Fax
- (671) 637-9747
- NPI assigned
- Aug 31, 2006
- Organization subpart
- No
Authorized official
- Name
- Michael Benito, RPH
- Title
- Gen MGR
- Phone
- (671) 477-9266
Corporate family (same tax ID) 3
National Provider Directory
- Tax ID family
- Superdrug-Harmon
Locations
214 W Marine Corps Dr
#1
Dededo, GU 96929
Phone (671) 637-9783
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | PCY026 | GU | Yes |
Addresses
Primary practice location
214 W Marine Corps Dr
Rte 1
Dededo, GU 96929-5913
Mailing address
214 W Marine Corps Dr
Rte 1
Dededo, GU 96929-5913
Phone (671) 637-9783
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467564385 | Medicaid | GU | |
| 5410155 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names
- SUPERDRUG PHARMACY
Other providers in Dededo, GU
- Hope Marie Jacosalem Pangelinan
- Roen Geneel Manalo Pangilinan
- Paraoceana Behavioral Health Services
- Zane Park
- Pathway Practice Solutions LLC
- Kristine Nae Uy Pedrajas
- Lilli Ann Perez
- Virgilio Garcia Petero Jr
- Procare-B, LLC
- Doris Marquez Querimit
All providers in Dededo, GU · Community/Retail Pharmacy in Guam
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 18, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.