Provider Demographics
NPI:1972485845
Name:SCOTT, COURTNEY JANE (PHARMD)
Entity type:Individual
Prefix:
First Name:COURTNEY
Middle Name:JANE
Last Name:SCOTT
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4601 S RENAISSANCE DR UNIT 101
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85297-1176
Mailing Address - Country:US
Mailing Address - Phone:602-460-6691
Mailing Address - Fax:
Practice Address - Street 1:63 N GREENFIELD RD STE 108
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85205-7863
Practice Address - Country:US
Practice Address - Phone:602-671-2826
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-22
Last Update Date:2025-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV20670183500000X
AZS024847183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist