Organization
SCRIPT SHOPPE INC
Active
Other names
SCRIPT SHOPPE
Organization subpart
No
Provider details
NPI number
Authorized official
PHANI CHENNUPATI (MANAGER)
(325) 347-6248
Entity
Organization
Contact information
Practice address
211 MOODY ST, MASON, TX 76856
(325) 347-6248
(325) 347-5228
Mailing address
PO BOX 1078, MASON, TX 76856-1078
(325) 347-6248
(325) 347-5228
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
21963
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145220
—
TX
01
—
2101569
PK
—
Enumeration date
09/06/2006
Last updated
03/22/2022
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