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Contact Information

PHARMASCRIPT INC
5437 N BROADWAY ST
CHICAGO, IL60640
 Phone: 773-681-0965
 Fax: 773-961-8907
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Infusion Therapy Pharmacy

3336H0001X 58 Medical Supply Company with Pharmacist
 

Parenteral & Enteral Nutrition

332BP3500X 87 All Other Suppliers
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
 

Specialty Pharmacy

3336S0011X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for PHARMASCRIPT INC

NPI # 1619332053
LBN Legal business name PHARMASCRIPT INC
Authorized official MICHAEL GREEN - (DIRECTOR OF PHARMACY OPERATIONS)
Entity Organization
Organization subpart 1 Yes
Enumeration date 12/30/2015
Last updated 12/20/2020 - About 5 years ago
Identifiers
IL License # 054.019406
IL Medicaid 8109044208001
IN Medicaid 300009646
MN Medicaid 1619332053
NM Medicaid 17624002
SC Medicaid 7L9406
WI Medicaid 100069273
Other 2157251 PK
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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