Provider Demographics
NPI:1154864262
Name:STAT SCRIPT RX INC
Entity Type:Organization
Organization Name:STAT SCRIPT RX INC
Other - Org Name:STAT SCRIPT RX
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:ELLA
Authorized Official - Middle Name:
Authorized Official - Last Name:YAKUBOVA ISKHAKOV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:631-271-7828
Mailing Address - Street 1:1800A NEW YORK AVE
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON STATION
Mailing Address - State:NY
Mailing Address - Zip Code:11746-2955
Mailing Address - Country:US
Mailing Address - Phone:631-271-7828
Mailing Address - Fax:
Practice Address - Street 1:1800A NEW YORK AVE
Practice Address - Street 2:
Practice Address - City:HUNTINGTON STATION
Practice Address - State:NY
Practice Address - Zip Code:11746-2955
Practice Address - Country:US
Practice Address - Phone:631-271-7828
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-21
Last Update Date:2016-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy