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General NPI Number Information
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NPI Number | 1336159730
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Entity Type | Organization
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Legal Business Name | SCOLARI'S #28 PHARMACY
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Dates
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Enumeration Date | 08/08/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 6255 SHARLANDS AVE
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City | RENO
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State | NV
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Zip | 89523-2785
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Country | US
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Telephone | 775-746-7311
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Fax | 775-746-7315
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Provider Business Mailing Address
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Address Line | 6255 SHARLANDS AVE
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City | RENO
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State | NV
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Zip | 89523-2785
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Country | US
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Telephone | 775-746-7311
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Fax | 775-746-7315
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Authorized Official
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Title or Position | PHARMACY INSURANCE ADMINISTRATOR
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Name | MRS. ANGIE SHARP
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Credential |
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Telephone | 775-356-2558
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BP3500X
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Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
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License Number | 2907256
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License Number State | NV
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