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NPI Code Detail

MEDICARE: PHARMASCRIPT INC

MEDICARE: PHARMASCRIPT 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
1261QI0500XInfusion Therapy Clinic/Center
23336S0011XSpecialty Pharmacy

General Provider Information

NPI Number : 1801452982
Entity Type Code : Organization
Provider Name (Legal Business Name) : PHARMASCRIPT INC
Provider Business Mailing Address
First Line : 5437 N BROADWAY ST
Second Line :
City : CHICAGO
State : IL
Zip : 60640-1703
Country : US
Telephone Number : 844-635-3221
Fax Number : 774-961-8907
Provider Business Practice Location Address
First Line : 6170 N DURANGO DR # 250
Second Line :
City : LAS VEGAS
State : NV
Zip : 89149-3926
Country : US
Telephone Number : 702-701-8781
Fax Number : 702-701-8782
Authorized Official
Title or Position : PRESIDENT & SECRETARY
Name : LANRE A SHOMADE
Credential :
Telephone Number : 773-275-8390
Provider Enumeration Date : 05/14/2019
Last Update Date : 05/14/2019

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Directions to “PHARMASCRIPT INC ” Practice Location

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