Organization
SOUTH SCRIPT HEALTH CARE INC
Active
Organization
SOUTH SCRIPT HEALTH CARE INC
Active
Other names
PARK PLACE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MONIQUE NICHOLSON RPH (CEO)
(817) 924-9292
Entity
Organization
Contact information
Practice address
1601 PARK PLACE AVE, STE B, FORT WORTH, TX 76110-1303
(817) 924-9292
(817) 924-9264
Mailing address
1601 PARK PLACE AVE, STE B, FORT WORTH, TX 76110-1303
(817) 924-9292
(817) 924-9264
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
23988
TX
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145526
—
TX
01
—
2096886
PK
—
Enumeration date
07/30/2006
Last updated
01/13/2017
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up