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NPI Code Detail

MEDICARE: MRS. ANGELA D SCOTT RPH

MEDICARE: MRS. ANGELA D SCOTT RPH
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
1183500000XPharmacist37369SC
2183500000XPharmacistRPH030441GA

General Provider Information

NPI Number : 1891205506
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ANGELA D SCOTT RPH
Provider Business Mailing Address
First Line : 438 WIREGRASS WAY
Second Line :
City : ALBANY
State : GA
Zip : 31721-7714
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1300 E CAMPBELL RD
Second Line :
City : RICHARDSON
State : TX
Zip : 75081-1937
Country : US
Telephone Number : 877-318-6869
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/08/2017
Last Update Date : 07/31/2024

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