Provider Demographics
NPI:1255654968
Name:FILL MORE SCRIPTS INC
Entity Type:Organization
Organization Name:FILL MORE SCRIPTS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:AL
Authorized Official - Middle Name:
Authorized Official - Last Name:NIAZI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-528-0505
Mailing Address - Street 1:12613 MERRICK BLVD
Mailing Address - Street 2:
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11434-3419
Mailing Address - Country:US
Mailing Address - Phone:718-528-0505
Mailing Address - Fax:718-528-2151
Practice Address - Street 1:12613 MERRICK BLVD
Practice Address - Street 2:
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11434-3419
Practice Address - Country:US
Practice Address - Phone:718-528-0505
Practice Address - Fax:718-528-2151
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-09
Last Update Date:2010-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY00026591305R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization