Provider Demographics
NPI:1679179717
Name:MEDSCRIPT PHARMACY LLC
Entity Type:Organization
Organization Name:MEDSCRIPT PHARMACY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:OSAMAH
Authorized Official - Middle Name:
Authorized Official - Last Name:PALWALA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-442-5783
Mailing Address - Street 1:180 SUNRISE HWY
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE CENTRE
Mailing Address - State:NY
Mailing Address - Zip Code:11570-4704
Mailing Address - Country:US
Mailing Address - Phone:516-442-5783
Mailing Address - Fax:844-308-8767
Practice Address - Street 1:180 SUNRISE HWY
Practice Address - Street 2:
Practice Address - City:ROCKVILLE CENTRE
Practice Address - State:NY
Practice Address - Zip Code:11570-4704
Practice Address - Country:US
Practice Address - Phone:516-442-5783
Practice Address - Fax:844-308-8767
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-04
Last Update Date:2021-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy