Provider Demographics
NPI:1285852939
Name:BENESCRIPT CORP
Entity Type:Organization
Organization Name:BENESCRIPT CORP
Other - Org Name:DIRECTSCRIPT CARE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:S
Authorized Official - Last Name:ETHRIDGE
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:770-448-4344
Mailing Address - Street 1:3720 DAVINCI CT
Mailing Address - Street 2:SUITE 200
Mailing Address - City:NORCROSS
Mailing Address - State:GA
Mailing Address - Zip Code:30092-7627
Mailing Address - Country:US
Mailing Address - Phone:770-448-4344
Mailing Address - Fax:770-810-2406
Practice Address - Street 1:7501 CURRENCY DR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32809-6922
Practice Address - Country:US
Practice Address - Phone:877-797-3784
Practice Address - Fax:407-241-8780
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPH224983336M0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336M0002XSuppliersPharmacyMail Order Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLPH22498OtherSTATE LICENSE