Healthcare Provider Details

I. General information

NPI: 1700991734
Provider Name (Legal Business Name): SCRIPTS PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2006
Last Update Date: 02/24/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4059 HOLLYWOOD RD
SAINT JOSEPH MI
49085-9156
US

IV. Provider business mailing address

7966 LOVERS LN
PORTAGE MI
49002-4446
US

V. Phone/Fax

Practice location:
  • Phone: 269-428-2500
  • Fax: 269-428-2555
Mailing address:
  • Phone: 269-492-7156
  • Fax: 269-327-3904

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number5301008399
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: LAWRENCE CURTIS
Title or Position: SEC/TREAS
Credential: RPH
Phone: 269-428-2500