Provider Demographics
NPI:1366843948
Name:SPECIALTY SCRIPTS, INC.
Entity Type:Organization
Organization Name:SPECIALTY SCRIPTS, INC.
Other - Org Name:SPECIALTY SCRIPTS, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:KUPER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-239-5777
Mailing Address - Street 1:4901 LBJ FWY
Mailing Address - Street 2:STE 100
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75244-6158
Mailing Address - Country:US
Mailing Address - Phone:972-239-5777
Mailing Address - Fax:
Practice Address - Street 1:4901 LYNDON B JOHNSON FWY
Practice Address - Street 2:STE 100
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75244-6158
Practice Address - Country:US
Practice Address - Phone:972-239-5777
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-15
Last Update Date:2014-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX294293336C0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0004XSuppliersPharmacyCompounding Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2147796OtherPK