Healthcare Provider Details

I. General information

NPI: 1356621619
Provider Name (Legal Business Name): EZ SCRIPTS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2011
Last Update Date: 05/30/2025
Certification Date: 05/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24340 SPERRY DR FL 2
WESTLAKE OH
44145-1565
US

IV. Provider business mailing address

PO BOX 1267
HOLLAND OH
43528-1267
US

V. Phone/Fax

Practice location:
  • Phone: 855-729-3939
  • Fax: 855-879-4949
Mailing address:
  • Phone: 855-729-3939
  • Fax: 855-879-4949

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number022085800
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code3336M0002X
TaxonomyMail Order Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MRS. CAROL MARIE BEERS
Title or Position: ADMINISTRATIVE DIRECTOR
Credential:
Phone: 855-729-3939