Provider Demographics
NPI:1699014449
Name:CREATIVE SCRIPTS, LLC
Entity Type:Organization
Organization Name:CREATIVE SCRIPTS, LLC
Other - Org Name:CREATIVE SCRIPTS COMPOUNDING PHARMACY
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER / PIC
Authorized Official - Prefix:DR
Authorized Official - First Name:GERALD
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:MELOCHE
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:239-261-0050
Mailing Address - Street 1:600 GOODLETTE RD N
Mailing Address - Street 2:#108
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34102-5662
Mailing Address - Country:US
Mailing Address - Phone:239-261-0500
Mailing Address - Fax:239-261-0017
Practice Address - Street 1:600 GOODLETTE RD N
Practice Address - Street 2:#108
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34102-5662
Practice Address - Country:US
Practice Address - Phone:239-261-0500
Practice Address - Fax:239-261-0017
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-13
Last Update Date:2013-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPH215813336C0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0004XSuppliersPharmacyCompounding Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
1016410OtherNCPDP