Lake, Melvina

Lake, Melvina is an individual health care provider with primary practice located at Us Highway 491 North , Shiprock NM 87420. She recently has only one registered license in Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, which is considered as her primary health care specialty. Lake, Melvina can be contacted via phone (505) 368-6001.

Contact Information

Primary practice address
Us Highway 491 North Shiprock NM 87420
Phone: (505) 368-6001
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X P8897 Idaho

Profile Details

NPI number 1497368567
LBN Legal business name Lake, Melvina
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 28th, 2020
Last updated Aug 28th, 2020 - about 4 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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