Organization
SCRIPT LIFE INC
Active
Other names
Script Life Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
KHOA HUYNH (PRESIDENT)
(559) 451-6690
Entity
Organization
Contact information
Practice address
255 W HERNDON AVE STE 101, CLOVIS, CA 93612-0381
(559) 324-1808
(559) 324-1876
Mailing address
255 W HERNDON AVE STE 101, CLOVIS, CA 93612-0381
(559) 324-1808
(559) 324-1876
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
50069
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2121793
PK
—
Enumeration date
09/02/2009
Last updated
11/29/2016
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