Healthcare Provider Details

I. General information

NPI: 1306124136
Provider Name (Legal Business Name): QUIK SCRIPTS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2011
Last Update Date: 11/02/2023
Certification Date: 11/02/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

303 N BROAD ST
GRIFFITH IN
46319-2222
US

IV. Provider business mailing address

303 N BROAD ST
GRIFFITH IN
46319-2222
US

V. Phone/Fax

Practice location:
  • Phone: 219-924-9540
  • Fax: 219-922-9535
Mailing address:
  • Phone: 219-924-9540
  • Fax: 219-922-9535

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number054.017700
License Number StateIL

VIII. Authorized Official

Name: DAVID DAVILA
Title or Position: OWNER/PHARMACIST IN CHARGE
Credential:
Phone: 219-924-9540