Provider Demographics
NPI:1629353586
Name:SCOTT, JAMES F (RPH)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:F
Last Name:SCOTT
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4895 BOULDER HWY
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89121-3012
Mailing Address - Country:US
Mailing Address - Phone:702-898-5264
Mailing Address - Fax:702-898-5274
Practice Address - Street 1:4895 BOULDER HWY
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89121-3012
Practice Address - Country:US
Practice Address - Phone:702-898-5264
Practice Address - Fax:702-898-5274
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-11
Last Update Date:2011-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV14964183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist