MEDICARE: SCOTT LEADER PHARMACIST

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	11402	NV

General Provider Information

NPI Number	:	1710867601
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SCOTT LEADER PHARMACIST

Provider Business Mailing Address
First Line	:	1827 DIAMOND BLUFF AVE
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89084-2002
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1827 DIAMOND BLUFF AVE
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89084-2002
Country	:	US
Telephone Number	:	702-885-9082
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/03/2025
Last Update Date	:	09/03/2025

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Directions to “ SCOTT LEADER PHARMACIST” Practice Location

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