MEDICARE: JENNIFER ANN SCOTT PHARM D

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	16975	NV

General Provider Information

NPI Number	:	1023431038
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER ANN SCOTT PHARM D

Provider Business Mailing Address
First Line	:	5101 S PECOS RD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89120-1269
Country	:	US
Telephone Number	:	702-456-6171
Fax Number	:	702-456-6431

Provider Business Practice Location Address
First Line	:	5101 S PECOS RD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89120-1269
Country	:	US
Telephone Number	:	702-456-6171
Fax Number	:	702-456-6431

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

Provider Enumeration Date	:	01/27/2014
Last Update Date	:	01/27/2014

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Directions to “ JENNIFER ANN SCOTT PHARM D” Practice Location

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