Provider Demographics
NPI:1477008068
Name:PHARMSCRIPT OF MD LLC
Entity Type:Organization
Organization Name:PHARMSCRIPT OF MD LLC
Other - Org Name:CONTINUARX
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CONTROLLER
Authorized Official - Prefix:
Authorized Official - First Name:CHANA
Authorized Official - Middle Name:
Authorized Official - Last Name:HOFF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-389-1818
Mailing Address - Street 1:150 PIERCE STREET
Mailing Address - Street 2:
Mailing Address - City:SOMERMET
Mailing Address - State:NJ
Mailing Address - Zip Code:08873
Mailing Address - Country:US
Mailing Address - Phone:908-389-1818
Mailing Address - Fax:732-985-5899
Practice Address - Street 1:7085 SAMUEL MORSE DRIVE, STE 110
Practice Address - Street 2:
Practice Address - City:COLUMBIA,
Practice Address - State:MD
Practice Address - Zip Code:21046
Practice Address - Country:US
Practice Address - Phone:908-389-1818
Practice Address - Fax:732-985-5899
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-24
Last Update Date:2017-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X, 3336C0004X, 3336I0012X
MDPW04993336L0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
No333600000XSuppliersPharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
No3336I0012XSuppliersPharmacyInstitutional Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD2588153 00Medicaid
2163930OtherPK