Organization
PROTO SCRIPT PHARMACUETICALS CORP
Active
Other names
PSP Homecare
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE MARIE RICO (CEO)
(855) 476-7679
Entity
Organization
Contact information
Practice address
337 N VINEYARD AVE STE 400, ONTARIO, CA 91764-4436
(855) 476-7679
(909) 542-3176
Mailing address
PO BOX 2462, RANCHO CUCAMONGA, CA 91729-2462
(800) 507-8758
(888) 819-9749
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
48177
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0569535
NCPDP
CA
05
—
15788557765
—
CA
Enumeration date
09/02/2005
Last updated
11/14/2022
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