MEDICARE: SCRIPS INCORPORATED

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336L0003X	Long Term Care Pharmacy	FL00059002	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	4932338	OTHER		NCPDP

General Provider Information

NPI Number	:	1669684791
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SCRIPS INCORPORATED

Provider Business Mailing Address
First Line	:	1313 E MAPLE ST
Second Line	:	SUITE 400
City	:	BELLINGHAM
State	:	WA
Zip	:	98225-5708
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1605 S 93RD ST
Second Line	:	SUITE EB
City	:	SEATTLE
State	:	WA
Zip	:	98108-5112
Country	:	US
Telephone Number	:	206-767-0411
Fax Number	:	206-767-8245

Authorized Official
Title or Position	:	CHIEF EXECUTIVE OFFICER
Name	:	KEVIN FARIS
Credential	:
Telephone Number	:	360-685-4242

Provider Enumeration Date	:	05/03/2007
Last Update Date	:	07/11/2008

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Directions to “SCRIPS INCORPORATED ” Practice Location

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