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Contact Information

CUSTOM SCRIPT LLC
25302 W WARREN ST
DEARBORN HEIGHTS, MI48127-2102
 Phone: 810-588-0000
 Fax: 888-647-8587
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Customized Equipment

332BC3200X 87 All Other Suppliers
 

Dialysis Equipment & Supplies

332BD1200X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for CUSTOM SCRIPT LLC

NPI # 1053642041
LBN Legal business name CUSTOM SCRIPT LLC
Authorized official EYAD KHADR - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/15/2010
Last updated 03/23/2015 - About 11 years ago
Identifiers
MI License # 5301009280
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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