1306516752 NPI number — PRICEPRO SCRIPTS INC.

Table of content: (NPI 1306516752)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1306516752 NPI number — PRICEPRO SCRIPTS INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PRICEPRO SCRIPTS INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
HOMELINX PHARMACY
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1306516752
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/12/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
101-12126 90TH AVE
Provider Second Line Business Mailing Address:
101
Provider Business Mailing Address City Name:
SURREY
Provider Business Mailing Address State Name:
BRITISH COLUMBIA
Provider Business Mailing Address Postal Code:
V3V 1B5
Provider Business Mailing Address Country Code:
CA
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1406 N MITCHELL ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CADILLAC
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
49601-1129
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
604-307-5003
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/16/2021

Additional Information

Authorized Official

Authorized Official Last Name:
GREWAL
Authorized Official First Name:
SUKHWINDER
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
604-307-5003

Provider Taxonomy Codes

  • Taxonomy code: 3336M0002X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: PH03819 . This is a "NEVADA STATE BOARD OF PHARMACY" identifier , issued by the state of ( NV ) . This identifiers is of the category "OTHER".




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