Contract Details
Ancillary Care Services
Facility name
Prescriptions Plus
Provider ID
P000004960
NPI
1629014659
Tax ID
650810348
Effective Date
4/1/2012
Last Updated
11/8/2016
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
76.00
Location Details
Address
3381 Fairlane Farms Road
Wellington, FL 33414
United States
County
Palm Beach
Phone
5617959806 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Durable Medical Equipment & Medical Supplies
Map
Address