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SOUTH SCRIPT HEALTH CARE INC NPI 1114932753


NPI Information

NPI: 1114932753
Provider Name: SOUTH SCRIPT HEALTH CARE INC

Doing Business As: PARK PLACE PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
1601 PARK PLACE AVE
STE B
FORT WORTH, TX
ZIP 76110
Phone: (817) 924-9292
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SOUTH SCRIPT HEALTH CARE INC is a community/retail pharmacy pharmacy in Fort Worth, TX. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. SOUTH SCRIPT HEALTH CARE INC NPI is 1114932753. The provider is registered as an organization entity type.
The provider Is Doing Business As Park Place Pharmacy.

The provider's business location address is:

1601 PARK PLACE AVE
STE B
FORT WORTH, TX
ZIP 76110-303
Phone: (817) 924-9292
Fax: (817) 924-9264

The provider's authorized official is Monique Nicholson .
The authorized official title is Ceo and has the following contact phone number (817) 924-9292.

The enumeration date for this NPI number is 7/30/2006 and was last updated on 1/13/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacyNo
23336C0003XPharmacyCommunity/Retail Pharmacy23988TEXASYes
33336C0004XPharmacyCompounding PharmacyNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
15311710002MEDICARE NSC
22096886OTHERPK
3145526MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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