Provider Demographics
NPI:1043355423
Name:EXCELSCRIPT INC
Entity type:Organization
Organization Name:EXCELSCRIPT INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:T
Authorized Official - Last Name:WESSEL
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:757-412-1460
Mailing Address - Street 1:3053 SHORE DR
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23451-1247
Mailing Address - Country:US
Mailing Address - Phone:757-412-1460
Mailing Address - Fax:757-412-1461
Practice Address - Street 1:3053 SHORE DR
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23451-1247
Practice Address - Country:US
Practice Address - Phone:757-412-1460
Practice Address - Fax:757-412-1461
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-21
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA02010036513336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA4834378OtherNCPDP #
VABM6635924OtherDEA
VA1296930001Medicare NSC