Organization
BENESCRIPT CORP
Active
Other names
DirectScript Care Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY S ETHRIDGE R.PH. (PRESIDENT)
(770) 448-4344
Entity
Organization
Contact information
Practice address
7501 CURRENCY DR, ORLANDO, FL 32809-6922
(877) 797-3784
(407) 241-8780
Mailing address
3720 DAVINCI CT, SUITE 200, NORCROSS, GA 30092-7627
(770) 448-4344
(770) 810-2406
Taxonomy
Speciality
Code
Description
License number
State
3336M0002X
Mail Order Pharmacy
Primary
PH22498
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PH22498
STATE LICENSE
FL
Enumeration date
04/20/2007
Last updated
08/22/2020
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