Healthcare Provider Details

I. General information

NPI: 1467463976
Provider Name (Legal Business Name): SPECIALTY SCRIPTS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2006
Last Update Date: 01/13/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

187 PLYMOUTH AVE BLDG 8
FALL RIVER MA
02721-4320
US

IV. Provider business mailing address

PO BOX 4286
FALL RIVER MA
02723-0403
US

V. Phone/Fax

Practice location:
  • Phone: 800-833-5002
  • Fax: 800-833-4351
Mailing address:
  • Phone: 800-218-5688
  • Fax: 800-830-5292

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License NumberDS3509
License Number StateMA

VIII. Authorized Official

Name: DENNIS BURTON
Title or Position: VP SPECIALTY PHCY SVCS
Credential:
Phone: 800-833-5002