Individual
SCOTT E MAMBOURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
1000 LOCUST ST, ATTN PHARMACY (119), RENO, NV 89502-2597
(775) 328-1422
(775) 328-1838
Mailing address
975 KIRMAN AVE, ATTN PHARMACY (119), RENO, NV 89502-0993
(775) 328-1422
(775) 328-1838
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
12572
NV
1835P1200X
Pharmacotherapy Pharmacist
48274
CA
Other
Enumeration date
07/17/2006
Last updated
07/03/2013
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