Provider Demographics
NPI:1881986354
Name:SCRIPTS FOR LIFE PHARMACEUTICALS INC
Entity type:Organization
Organization Name:SCRIPTS FOR LIFE PHARMACEUTICALS INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALLISON
Authorized Official - Middle Name:
Authorized Official - Last Name:WILEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-446-8611
Mailing Address - Street 1:3814 LYONS AVE
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77020-8348
Mailing Address - Country:US
Mailing Address - Phone:281-974-4415
Mailing Address - Fax:281-974-3945
Practice Address - Street 1:3814 LYONS AVE
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77020-8348
Practice Address - Country:US
Practice Address - Phone:281-974-4415
Practice Address - Fax:281-974-3945
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-03
Last Update Date:2012-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
TX277563336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
5904708OtherNCPDP PROVIDER IDENTIFICATION NUMBER