IndividualActive
Scott Mambourg, PHARM.D.
NPI 1659398121 · Pharmacotherapy Pharmacist · Reno, NV
Provider details
- NPI number
- 1659398121
- Entity type
- Individual
- Primary specialty
- Pharmacotherapy PharmacistPharmacy Service Providers
- Credential
- PHARM.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 12572 (NV)
Specialties & taxonomies
Pharmacy Service Providers
Pharmacy Service Providers
Practice location
1000 Locust St
Attn Pharmacy (119)
Reno, NV 89502-2597
Phone: (775) 328-1422
Fax: (775) 328-1838
Approximate (ZIP-level) locationGet directions
Mailing address
975 Kirman Ave
Reno, NV 89502-0993
Registry dates
- Enumerated
- 2006-07-17
- Last updated
- 2013-07-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.