MEDICARE: CHRISTIE SCOTT

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	017124	KY

General Provider Information

NPI Number	:	1841127115
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTIE SCOTT

Provider Business Mailing Address
First Line	:	3991 DUTCHMANS LN STE 310
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40207-4716
Country	:	US
Telephone Number	:	502-899-6782
Fax Number	:	502-899-6782

Provider Business Practice Location Address
First Line	:	3991 DUTCHMANS LN STE 310
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40207-4716
Country	:	US
Telephone Number	:	502-899-6782
Fax Number	:	502-899-6782

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

Provider Enumeration Date	:	05/08/2026
Last Update Date	:	05/08/2026

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Directions to “ CHRISTIE SCOTT ” Practice Location

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