MEDICARE: T G SCRIPTS INC

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	3336C0003X	Community/Retail Pharmacy	13318	OK

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	3716973	OTHER		OTHER ID NUMBER
2	3716973	OTHER		OTHER ID NUMBER-COMMERCIAL NUMBER

General Provider Information

NPI Number	:	1790878130
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	T G SCRIPTS INC

Provider Business Mailing Address
First Line	:	4911 NW 23RD ST
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73127-2313
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4911 NW 23RD ST
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73127-2313
Country	:	US
Telephone Number	:	405-946-4375
Fax Number	:	405-946-4505

Authorized Official
Title or Position	:	PRESIDENT
Name	:	TIM GUINN
Credential	:	DPH
Telephone Number	:	405-946-4375

Provider Enumeration Date	:	09/30/2006
Last Update Date	:	04/11/2008

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Directions to “T G SCRIPTS INC ” Practice Location

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