Organization
PROTO SCRIPT PHARMACUETICALS CORP
Active
Other names
PSP HOMECARE
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERRY LEE MOFFIT (NATIONAL GM/CIO/COMPLAINCE)
(855) 476-7679
Entity
Organization
Contact information
Practice address
9830 6TH ST, SUITE 103, RANCHO CUCAMONGA, CA 91730-7968
(855) 476-7679
(888) 819-8749
Mailing address
9830 6TH ST, SUITE 103, RANCHO CUCAMONGA, CA 91730-7968
(855) 476-7679
(888) 819-8749
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
07/20/2016
Last updated
07/20/2016
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