Organization
PROSCRIPT PHARMACY MGMT LLC
Active
Other names
PROSCRIPT PHARMACY MGMT LLC
Organization subpart
No
Provider details
NPI number
Authorized official
GINA DEBARTOLOME (COO)
(347) 897-4670
Entity
Organization
Contact information
Practice address
1441 SOUTH AVE STE 703, STATEN ISLAND, NY 10314-3784
(866) 646-1780
(347) 897-4660
Mailing address
1441 SOUTH AVE STE 703, STATEN ISLAND, NY 10314-3784
Taxonomy
Speciality
Code
Description
License number
State
3336M0002X
Mail Order Pharmacy
Primary
026894
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3343453
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
02/06/2007
Last updated
06/26/2023
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