Haile, Mellai Z

Haile, Mellai Z is an individual health care provider with primary practice located at 15390 New Halls Ferry Rd , Florissant MO 63031-1327. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Haile, Mellai Z can be contacted via phone (314) 831-9916.

Contact Information

Primary practice address
15390 New Halls Ferry Rd Florissant MO 63031-1327
Fax: (314) 837-8542
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 2008027470 Missouri

Profile Details

NPI number 1194008490
LBN Legal business name Haile, Mellai Z
Credentials RPH
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2011
Last updated Sep 22nd, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194008490 NPPES
Missouri MEDICAID 603942905

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