Provider Demographics
NPI:1376972133
Name:SCRIPTE CORPORATION
Entity Type:Organization
Organization Name:SCRIPTE CORPORATION
Other - Org Name:SCRIPTE CORPORATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:DAVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:DEB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-847-9103
Mailing Address - Street 1:2907 W EMPIRE AVE
Mailing Address - Street 2:
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91504-3108
Mailing Address - Country:US
Mailing Address - Phone:818-847-9103
Mailing Address - Fax:877-451-7727
Practice Address - Street 1:2907 W EMPIRE AVE
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91504-3108
Practice Address - Country:US
Practice Address - Phone:818-847-9103
Practice Address - Fax:877-451-7727
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-02
Last Update Date:2014-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
CAPHY516243336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2142827OtherPK