Provider Demographics
NPI:1922192236
Name:SOCO SCRIPTS INC
Entity Type:Organization
Organization Name:SOCO SCRIPTS INC
Other - Org Name:MEDICAP PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:OATMAN
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:936-494-4002
Mailing Address - Street 1:2105 W DAVIS ST STE A
Mailing Address - Street 2:
Mailing Address - City:CONROE
Mailing Address - State:TX
Mailing Address - Zip Code:77304-2062
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2105 W DAVIS ST STE A
Practice Address - Street 2:
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77304-2062
Practice Address - Country:US
Practice Address - Phone:936-494-4002
Practice Address - Fax:936-494-4003
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-03
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX21463333600000X
3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX145262Medicaid
4524369OtherOTHER ID NUMBER-COMMERCIAL NUMBER
4524369OtherOTHER ID NUMBER-COMMERCIAL NUMBER
4524369OtherOTHER ID NUMBER-COMMERCIAL NUMBER
TXBM7678189OtherDEA #