MEDICARE: SCOTTIE JAMES KNOTT 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
1	183500000X	Pharmacist	15279	LA

General Provider Information

NPI Number	:	1740870716
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SCOTTIE JAMES KNOTT RPH

Provider Business Mailing Address
First Line	:	127 ACORN DR
Second Line	:
City	:	SUNSET
State	:	LA
Zip	:	70584-6134
Country	:	US
Telephone Number	:	337-662-5236
Fax Number	:	337-662-3999

Provider Business Practice Location Address
First Line	:	127 ACORN DR
Second Line	:
City	:	SUNSET
State	:	LA
Zip	:	70584-6134
Country	:	US
Telephone Number	:	337-662-5236
Fax Number	:	337-662-3999

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

Provider Enumeration Date	:	01/22/2021
Last Update Date	:	01/22/2021

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