Provider Demographics
NPI:1548211279
Name:SCOLARIS WAREHOUSE MARKETS INC.
Entity Type:Organization
Organization Name:SCOLARIS WAREHOUSE MARKETS INC.
Other - Org Name:SCOLARI'S FOOD & DRUG CO.103
Other - Org Type:Other Name
Authorized Official - Title/Position:PHARMACY INSURANCE ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ALMA
Authorized Official - Middle Name:D
Authorized Official - Last Name:TREJO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:775-785-7396
Mailing Address - Street 1:2375 ODDIE BLVD
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89512-2118
Mailing Address - Country:US
Mailing Address - Phone:775-358-4337
Mailing Address - Fax:775-358-9609
Practice Address - Street 1:2375 ODDIE BLVD
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89512-2118
Practice Address - Country:US
Practice Address - Phone:775-358-4337
Practice Address - Fax:775-358-9609
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-15
Last Update Date:2016-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV3316337332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies