Provider Demographics
NPI:1700991734
Name:SCRIPTS PHARMACY INC
Entity Type:Organization
Organization Name:SCRIPTS PHARMACY INC
Other - Org Name:SCRIPTS PHARMACY INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SEC/TREAS
Authorized Official - Prefix:
Authorized Official - First Name:LAWRENCE
Authorized Official - Middle Name:
Authorized Official - Last Name:CURTIS
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:269-428-2500
Mailing Address - Street 1:7966 LOVERS LN
Mailing Address - Street 2:
Mailing Address - City:PORTAGE
Mailing Address - State:MI
Mailing Address - Zip Code:49002-4446
Mailing Address - Country:US
Mailing Address - Phone:269-492-7156
Mailing Address - Fax:269-327-3904
Practice Address - Street 1:4059 HOLLYWOOD RD
Practice Address - Street 2:
Practice Address - City:SAINT JOSEPH
Practice Address - State:MI
Practice Address - Zip Code:49085-9156
Practice Address - Country:US
Practice Address - Phone:269-428-2500
Practice Address - Fax:269-428-2555
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-20
Last Update Date:2010-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI53010083993336C0003X
3336S0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2368618OtherNCPDP PROVIDER IDENTIFICATION NUMBER
MI2368618Medicaid