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NPI Code Detail

MEDICARE: SCOLARI'S #28 PHARMACY

MEDICARE: SCOLARI'S #28 PHARMACY
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
1332BP3500XParenteral & Enteral Nutrition Supplies (DME)2907256NV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1336159730
Entity Type Code : Organization
Provider Name (Legal Business Name) : SCOLARI'S #28 PHARMACY
Provider Business Mailing Address
First Line : 6255 SHARLANDS AVE
Second Line :
City : RENO
State : NV
Zip : 89523-2785
Country : US
Telephone Number : 775-746-7311
Fax Number : 775-746-7315
Provider Business Practice Location Address
First Line : 6255 SHARLANDS AVE
Second Line :
City : RENO
State : NV
Zip : 89523-2785
Country : US
Telephone Number : 775-746-7311
Fax Number : 775-746-7315
Authorized Official
Title or Position : PHARMACY INSURANCE ADMINISTRATOR
Name : MRS. ANGIE SHARP
Credential :
Telephone Number : 775-356-2558
Provider Enumeration Date : 08/08/2006
Last Update Date : 08/22/2020

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Directions to “SCOLARI'S #28 PHARMACY ” Practice Location

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