Provider Demographics
NPI:1669684791
Name:SCRIPS INCORPORATED
Entity Type:Organization
Organization Name:SCRIPS INCORPORATED
Other - Org Name:SCRIPS LTC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:FARIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:360-685-4242
Mailing Address - Street 1:1313 E MAPLE ST
Mailing Address - Street 2:SUITE 400
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-5708
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1605 S 93RD ST
Practice Address - Street 2:SUITE EB
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98108-5112
Practice Address - Country:US
Practice Address - Phone:206-767-0411
Practice Address - Fax:206-767-8245
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2008-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAFL000590023336L0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
4932338OtherNCPDP
WA5978240001Medicare NSC