Provider Demographics
NPI:1659025468
Name:SCRIPTHERO PHARMACY LLC
Entity type:Organization
Organization Name:SCRIPTHERO PHARMACY LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DERRICK
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:STURGILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-465-4992
Mailing Address - Street 1:910 JOHN ST STE 3A
Mailing Address - Street 2:ATTN: PIC
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43222-1105
Mailing Address - Country:US
Mailing Address - Phone:866-411-9134
Mailing Address - Fax:
Practice Address - Street 1:910 JOHN ST STE 3A
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43222-1105
Practice Address - Country:US
Practice Address - Phone:614-454-3325
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MCKESSON DISTRIBUTION HOLDINGS LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-02-10
Last Update Date:2024-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0230000014OtherTERMINAL - PHARMACY - CATEGORY 2