Melrose Pharmacy
LBN: Melrose Pharmacy Llc
Melrose Pharmacy 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:
Health care specialties
| Specialty | Code | License # | 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 | Melrose Pharmacy |
| Authorized official | Stickler, Teresa |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 20th, 2006 |
| Last updated | Feb 20th, 2017 - about 7 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 | 1073628095 | NPPES |
| Arizona | MEDICAID | 980319 | |
| Arizona | Other | 1991935 |
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