Provider Demographics
NPI:1124638077
Name:PHARMASCRIPT INC
Entity type:Organization
Organization Name:PHARMASCRIPT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LANRE
Authorized Official - Middle Name:A
Authorized Official - Last Name:SHOMADE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-275-8390
Mailing Address - Street 1:5437 N BROADWAY AVENUE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60640
Mailing Address - Country:US
Mailing Address - Phone:844-635-3221
Mailing Address - Fax:773-961-8907
Practice Address - Street 1:6501 AMERICAS PKWY NE STE 121
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87110-9813
Practice Address - Country:US
Practice Address - Phone:505-407-2565
Practice Address - Fax:505-859-4021
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PREMIER POINT HOME HEALTH, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-08-05
Last Update Date:2020-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336C0002XSuppliersPharmacyClinic Pharmacy