Healthcare Provider Details
I. General information
NPI: 1730421256
Provider Name (Legal Business Name): SKRIPTS PHARMACY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/22/2013
Last Update Date: 06/16/2021
Certification Date: 06/16/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
750 23RD AVE E
WEST FARGO ND
58078-7804
US
IV. Provider business mailing address
750 23RD AVE E
WEST FARGO ND
58078-7804
US
V. Phone/Fax
- Phone: 701-281-2222
- Fax: 701-281-2223
- Phone: 701-281-2222
- Fax: 701-281-2223
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3336C0003X |
| Taxonomy | Community/Retail Pharmacy |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
TRISHA
OSS
Title or Position: OWNER
Credential: PHARMD
Phone: 701-281-2222