Madera Medical Pharmacy
LBN: Mel Pharm Inc.
Madera Medical Pharmacy is an health care organization with primary practice located at 402 S. Madera Ave Ste A , Madera CA 93637-3203. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Mel Pharm Inc. can be contacted via phone (559) 674-8553, or through Singh, Sirtaj via phone (559) 674-8553.
Contact Information
Primary practice address
402 S. Madera Ave Ste A
Madera CA 93637-3203
Phone: (559) 674-8553
Fax: (559) 674-0947
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PHY53630 | California |
| Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
| NPI number | 1104821776 |
|---|---|
| LBN Legal business name | Mel Pharm Inc. |
| DBA Doing business as | Madera Medical Pharmacy |
| Authorized official | Singh, Sirtaj PHARMD |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 20th, 2005 |
| Last updated | Jan 30th, 2020 - about 6 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104821776 | NPPES |
| California | Other | PHY75698 | PHARMACY LICENSE |
| California | Other | 1999775 | PHARMACY LICENSE |
| California | MEDICAID | PHA393920 | PHARMACY LICENSE |
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