Provider Demographics
NPI:1720020266
Name:SURGI SCRIPTS INC.
Entity Type:Organization
Organization Name:SURGI SCRIPTS INC.
Other - Org Name:HOROWITZ PHARMACY AND SURGICALS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT, PHARMACIST IN CHARGE
Authorized Official - Prefix:MR
Authorized Official - First Name:EUGENE
Authorized Official - Middle Name:M
Authorized Official - Last Name:AZOIA
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:908-353-3282
Mailing Address - Street 1:32 GROVE ST
Mailing Address - Street 2:
Mailing Address - City:ELIZABETH
Mailing Address - State:NJ
Mailing Address - Zip Code:07202-2327
Mailing Address - Country:US
Mailing Address - Phone:908-353-3282
Mailing Address - Fax:908-355-5379
Practice Address - Street 1:32 GROVE ST
Practice Address - Street 2:
Practice Address - City:ELIZABETH
Practice Address - State:NJ
Practice Address - Zip Code:07202-2327
Practice Address - Country:US
Practice Address - Phone:908-353-3282
Practice Address - Fax:908-355-5379
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-11
Last Update Date:2008-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X, 332BP3500X, 332BX2000X, 335E00000X
NJ28RS004420003336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
No335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ4420004Medicaid
NJ3431606Medicaid
0210320001Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER