Provider Demographics
NPI:1326523838
Name:QUICK SCRIPTS INC
Entity Type:Organization
Organization Name:QUICK SCRIPTS INC
Other - Org Name:LIFECARE RX
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GAVRIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ISAKOV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-658-9700
Mailing Address - Street 1:8342 PARSONS BLVD
Mailing Address - Street 2:
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11432-1642
Mailing Address - Country:US
Mailing Address - Phone:718-658-9700
Mailing Address - Fax:718-658-2700
Practice Address - Street 1:8342 PARSONS BLVD
Practice Address - Street 2:
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11432-1642
Practice Address - Country:US
Practice Address - Phone:718-658-9700
Practice Address - Fax:718-658-2700
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-01
Last Update Date:2022-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY05460875Medicaid