Organization Name:  INTEGRISCRIPT, INC.


Practice Location:
95 ASHLEY AVE STE B  WEST SPRINGFIELD, MA 01089 US
Tel: 413-750-7000  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

Primary	Code	Category/Description	State	License Number
N	3336C0004X	Suppliers Pharmacy Compounding Pharmacy
N	333600000X	Suppliers Pharmacy
Y	3336L0003X	Suppliers Pharmacy	MA	DS89726

Other Provider Identifiers:

Issuer	Number	State	Type
	110085640A	MA	05
	1028993	VT	05
PK	2125145		01

Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin