MEDICARE: EASY SCRIPTS, INC.

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
1	3336M0002X	Mail Order Pharmacy	054-016725	IL
2	3336C0003X	Community/Retail Pharmacy	054-016725	IL

General Provider Information

NPI Number	:	1366777492
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EASY SCRIPTS, INC.

Provider Business Mailing Address
First Line	:	5244 N SHERIDAN RD
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60640-2513
Country	:	US
Telephone Number	:	863-662-7990
Fax Number	:

Provider Business Practice Location Address
First Line	:	5244 N SHERIDAN RD
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60640-2513
Country	:	US
Telephone Number	:	863-662-7990
Fax Number	:

Authorized Official
Title or Position	:	CFO
Name	:	MR. AARON CROWLEY
Credential	:
Telephone Number	:	863-662-7990

Provider Enumeration Date	:	10/07/2009
Last Update Date	:	10/21/2009

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Directions to “EASY SCRIPTS, INC. ” Practice Location

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