Provider Demographics
NPI:1558656678
Name:SCRIPTS DIRECT, LLC
Entity Type:Organization
Organization Name:SCRIPTS DIRECT, LLC
Other - Org Name:SCRIPTS DIRECT PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:TERRI
Authorized Official - Middle Name:A
Authorized Official - Last Name:MCEWEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-765-7651
Mailing Address - Street 1:8313 W. HILLSBOROUGH AVE.
Mailing Address - Street 2:# 260
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33615
Mailing Address - Country:US
Mailing Address - Phone:813-868-1999
Mailing Address - Fax:813-867-3232
Practice Address - Street 1:8313 W. HILLSBOROUGH AVE.
Practice Address - Street 2:# 260
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33615
Practice Address - Country:US
Practice Address - Phone:813-868-1999
Practice Address - Fax:813-867-3232
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-16
Last Update Date:2016-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPH 254983336C0003X
FL3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLPH25498OtherBOARD OF PHARMACY PERMIT