Provider Demographics
NPI:1821833807
Name:SCRIPT DEPOT LP
Entity type:Organization
Organization Name:SCRIPT DEPOT LP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:
Authorized Official - First Name:KHALED
Authorized Official - Middle Name:
Authorized Official - Last Name:SEDKI
Authorized Official - Suffix:
Authorized Official - Credentials:RPH, MBA
Authorized Official - Phone:530-674-3277
Mailing Address - Street 1:1619 FRANKLIN RD
Mailing Address - Street 2:
Mailing Address - City:YUBA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:95993-4609
Mailing Address - Country:US
Mailing Address - Phone:530-674-3277
Mailing Address - Fax:530-674-3698
Practice Address - Street 1:1619 FRANKLIN RD
Practice Address - Street 2:
Practice Address - City:YUBA CITY
Practice Address - State:CA
Practice Address - Zip Code:95993-4609
Practice Address - Country:US
Practice Address - Phone:530-674-3277
Practice Address - Fax:530-674-3698
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-01
Last Update Date:2024-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy