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NPI Code Detail

MEDICARE: SCRIPT SPECIALISTS

MEDICARE: SCRIPT SPECIALISTS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13336C0003XCommunity/Retail Pharmacy006951LA

General Provider Information

NPI Number : 1194127639
Entity Type Code : Organization
Provider Name (Legal Business Name) : SCRIPT SPECIALISTS
Provider Business Mailing Address
First Line : 1922 HIGHWAY 22 W
Second Line : SUITE B
City : MADISONVILLE
State : LA
Zip : 70447-9490
Country : US
Telephone Number : 985-792-4377
Fax Number :
Provider Business Practice Location Address
First Line : 1922 HWY 22 WEST
Second Line : SUITE B
City : MADISONVILLE
State : LA
Zip : 70447
Country : US
Telephone Number : 985-792-4377
Fax Number :
Authorized Official
Title or Position : OWENER
Name : GLEN GEGENHEIMER
Credential :
Telephone Number : 985-792-4377
Provider Enumeration Date : 09/16/2014
Last Update Date : 09/16/2014

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Directions to “SCRIPT SPECIALISTS ” Practice Location

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