Healthcare Provider Details

I. General information

NPI: 1124178439
Provider Name (Legal Business Name): SCRIPT COMPANY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/11/2007
Last Update Date: 01/22/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

442 N MOORPARK RD
THOUSAND OAKS CA
91360-3702
US

IV. Provider business mailing address

442 N MOORPARK RD
THOUSAND OAKS CA
91360-3702
US

V. Phone/Fax

Practice location:
  • Phone: 805-495-2110
  • Fax: 805-494-3609
Mailing address:
  • Phone: 805-495-2110
  • Fax: 805-494-3609

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPHY49827
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MUKESH RAI
Title or Position: OWNER
Credential:
Phone: 805-495-2110