Provider Demographics
NPI:1508876996
Name:SCOLARI'S #26 PHARMACY
Entity Type:Organization
Organization Name:SCOLARI'S #26 PHARMACY
Other - Org Name:SCOLARI'S FOOD & DRUG CO.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACY INSURANCE ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANGIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SHARP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:775-356-2558
Mailing Address - Street 1:1300 DISC DR
Mailing Address - Street 2:
Mailing Address - City:SPARKS
Mailing Address - State:NV
Mailing Address - Zip Code:89436-0684
Mailing Address - Country:US
Mailing Address - Phone:775-626-5005
Mailing Address - Fax:775-626-4441
Practice Address - Street 1:1300 DISC DR
Practice Address - Street 2:
Practice Address - City:SPARKS
Practice Address - State:NV
Practice Address - Zip Code:89436-0684
Practice Address - Country:US
Practice Address - Phone:775-626-5005
Practice Address - Fax:775-626-4441
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV3316320332BP3500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV3316320Medicaid