Provider Demographics
NPI:1548598998
Name:EASY SCRIPTS INC
Entity Type:Organization
Organization Name:EASY SCRIPTS INC
Other - Org Name:EASY CLINIC LAB & RX SHOP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACIST IN CHARGE
Authorized Official - Prefix:
Authorized Official - First Name:SHAWN
Authorized Official - Middle Name:
Authorized Official - Last Name:TAVARES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-205-4313
Mailing Address - Street 1:444 HANA HIGHWAY
Mailing Address - Street 2:UNIT K
Mailing Address - City:KAHULUI
Mailing Address - State:HI
Mailing Address - Zip Code:96732-0000
Mailing Address - Country:US
Mailing Address - Phone:808-873-6424
Mailing Address - Fax:808-873-6429
Practice Address - Street 1:444 HANA HIGHWAY
Practice Address - Street 2:UNIT K
Practice Address - City:KAHULUI
Practice Address - State:HI
Practice Address - Zip Code:96732-0000
Practice Address - Country:US
Practice Address - Phone:808-873-6424
Practice Address - Fax:808-873-6429
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-23
Last Update Date:2013-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIPHY7763336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
1240439OtherNCPDP PROVIDER IDENTIFICATION NUMBER