Provider Demographics
NPI:1255855854
Name:OKC SCRIPTS LLC
Entity Type:Organization
Organization Name:OKC SCRIPTS LLC
Other - Org Name:OKC SCRIPTS LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:KATO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:877-910-4515
Mailing Address - Street 1:5914 NW 38TH ST # 5914
Mailing Address - Street 2:
Mailing Address - City:WARR ACRES
Mailing Address - State:OK
Mailing Address - Zip Code:73122-2008
Mailing Address - Country:US
Mailing Address - Phone:877-910-4515
Mailing Address - Fax:248-721-8582
Practice Address - Street 1:5914 NW 38TH ST # 5914
Practice Address - Street 2:
Practice Address - City:WARR ACRES
Practice Address - State:OK
Practice Address - Zip Code:73122-2008
Practice Address - Country:US
Practice Address - Phone:877-910-4515
Practice Address - Fax:248-721-8582
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-26
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK1-7965333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK=========Medicaid