Provider Demographics
NPI:1689435471
Name:BLUESCRIPT PHARMACY INC
Entity Type:Organization
Organization Name:BLUESCRIPT PHARMACY INC
Other - Org Name:BLUESCRIPT PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:
Authorized Official - Last Name:AVETISYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-747-4000
Mailing Address - Street 1:7233 CORBIN AVE
Mailing Address - Street 2:
Mailing Address - City:WINNETKA
Mailing Address - State:CA
Mailing Address - Zip Code:91306-3006
Mailing Address - Country:US
Mailing Address - Phone:818-747-7000
Mailing Address - Fax:
Practice Address - Street 1:7233 CORBIN AVE
Practice Address - Street 2:
Practice Address - City:WINNETKA
Practice Address - State:CA
Practice Address - Zip Code:91306-3006
Practice Address - Country:US
Practice Address - Phone:818-747-7000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-18
Last Update Date:2024-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy