# LTC SCRIPTSRX LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134363872
- **Authorized official:** STEVEN A MARAIST (CONTROLLER)
- **Authorized official phone:** (337) 783-7200

## Contact information

- **Practice address:** 572 MADDOX DR, ELLIJAY, GA 30540-4000
- **Practice address phone:** (706) 635-7931
- **Practice address fax:** (706) 635-1102
- **Mailing address:** 1002 N PARKERSON AVE, CROWLEY, LA 70526-3613
- **Mailing address phone:** (337) 783-7200
- **Mailing address fax:** (337) 785-3116

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | GA | Yes |

## Other

- **Enumeration date:** 04/24/2009
- **Last updated:** 04/24/2009