Provider Demographics
NPI:1356641211
Name:MAY, SCOTT A (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:A
Last Name:MAY
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1233 N LIBERTY LAKE RD
Mailing Address - Street 2:
Mailing Address - City:LIBERTY LAKE
Mailing Address - State:WA
Mailing Address - Zip Code:99019-7518
Mailing Address - Country:US
Mailing Address - Phone:509-893-1202
Mailing Address - Fax:509-893-7578
Practice Address - Street 1:1233 N LIBERTY LAKE RD
Practice Address - Street 2:
Practice Address - City:LIBERTY LAKE
Practice Address - State:WA
Practice Address - Zip Code:99019-7518
Practice Address - Country:US
Practice Address - Phone:509-893-1202
Practice Address - Fax:509-893-7578
Is Sole Proprietor?:No
Enumeration Date:2010-10-26
Last Update Date:2010-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH00050178183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist