| Organization Name: | SCOLARI'S #23 PHARMACY |
| NPI Number: | 1114937364 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ANGIE SHARP (PHARMACY INSURANCE ADMINISTRATOR) |
| Mailing Address: | 1329 Hwy. 395 South Suite 12 Gardnerville |
| State: | NV US |
| Postal Code: | 89410 |
| Phone Number: | 7757825530 |
| Fax Number: | 7757825592 |
| NPI Enumeration Date: | 08/09/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BP3500X |
| License Number: | 3303525 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NV |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Parenteral & Enteral Nutrition |
| Taxonomy Definition: | |