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NPI Code Detail

MEDICARE: JAMES WILLIAM COTTER

MEDICARE: JAMES WILLIAM COTTER
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
1183500000XPharmacist9847NV
2183500000XPharmacist4185NM

General Provider Information

NPI Number : 1528343571
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES WILLIAM COTTER
Provider Business Mailing Address
First Line : 2662 RED ROCK ST
Second Line : APT. 2104
City : LAS VEGAS
State : NV
Zip : 89146-5613
Country : US
Telephone Number : 702-362-3461
Fax Number :
Provider Business Practice Location Address
First Line : 9305 S EASTERN AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89123-6837
Country : US
Telephone Number : 702-914-9797
Fax Number : 702-914-9747
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/20/2011
Last Update Date : 10/20/2011

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Directions to “ JAMES WILLIAM COTTER ” Practice Location

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