Provider Demographics
NPI:1205833316
Name:ACCUSCRIPTS PHARMACY LLC
Entity Type:Organization
Organization Name:ACCUSCRIPTS PHARMACY LLC
Other - Org Name:PHARMED INC, DBA PHARMED PHARMACY
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DENIS
Authorized Official - Middle Name:R
Authorized Official - Last Name:HOLMES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:440-250-5400
Mailing Address - Street 1:24340 SPERRY DR
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44145-1565
Mailing Address - Country:US
Mailing Address - Phone:440-250-5400
Mailing Address - Fax:440-617-2933
Practice Address - Street 1:24340 SPERRY DR
Practice Address - Street 2:
Practice Address - City:WESTLAKE
Practice Address - State:OH
Practice Address - Zip Code:44145-1565
Practice Address - Country:US
Practice Address - Phone:440-250-5400
Practice Address - Fax:440-617-2933
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-05
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
OH0223397003336L0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH022339700OtherPHARMACY LICENSE
OH0173566Medicaid
OHFA4141002OtherDEA
FA4141002OtherDEA
OH5348480001Medicare NSC
OH022339700OtherPHARMACY LICENSE
OH7562580001Medicare NSC