Organization
SCRIPT INFUSION PHARMACY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN DONATHAN (PRESIDENT)
(562) 296-2120
Entity
Organization
Contact information
Practice address
10571 CALLE LEE STE 163, LOS ALAMITOS, CA 90720-2572
(562) 296-2120
(562) 296-2130
Mailing address
10571 CALLE LEE STE 163, LOS ALAMITOS, CA 90720-2572
(562) 296-2120
(562) 296-2130
Taxonomy
Speciality
Code
Description
License number
State
3336H0001X
Home Infusion Therapy Pharmacy
Primary
PHY50465
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1194014407
—
CA
01
—
PHY50465
PHARMACY LICENSE
CA
Enumeration date
04/07/2011
Last updated
10/26/2011
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