<Unavail>

LBN: Melrose Pharmacy Llc
<Unavail> is an health care organization with primary practice located at 706 W Montecito Ave , Phoenix AZ 85013-2814. The organization recently has 5 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Melrose Pharmacy Llc can be contacted via phone (602) 277-4714, or through Stickler, Teresa via phone (602) 277-4714.

Contact Information

Primary practice address
706 W Montecito Ave Phoenix AZ 85013-2814
Phone: (602) 277-4714
Fax: (602) 264-1469
Website:
Map and Directions
Authorized official contact:
Name: Stickler, Teresa
Phone: (602) 277-4714

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X Y04279 Arizona
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1073628095
LBN Legal business name Melrose Pharmacy Llc
DBA Doing business as <Unavail>
Authorized official Stickler, Teresa
Entity Organization
Organization subpart 1 No
Enumeration date Aug 20th, 2006
Last updated Feb 20th, 2017 - about 9 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073628095 NPPES
Arizona MEDICAID 980319
Arizona Other 1991935

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