Organization
PROSCRIPT, INC
Active
Other names
Medicine Shoppe
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID C. BOYKO (OWNER VICE PRESIDENT)
(937) 293-1919
Entity
Organization
Contact information
Practice address
3600 WILMINGTON PIKE, KETTERING, OH 45429-4819
(937) 293-1919
(937) 293-0994
Mailing address
3600 WILMINGTON PIKE, KETTERING, OH 45429-4819
(937) 293-1919
(937) 293-0994
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
OH
3336C0003X
Community/Retail Pharmacy
Primary
—
OH
3336C0004X
Compounding Pharmacy
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2405016
—
OH
01
—
3646049
NCPDP #
OH
Enumeration date
11/21/2006
Last updated
03/07/2023
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