Melvin, Gordon Riley

Melvin, Gordon Riley is an individual health care provider with primary practice located at 1570 E Fairview Ave , Meridian ID 83642-1821. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Melvin, Gordon Riley can be contacted via phone (208) 888-0034.

Contact Information

Primary practice address
1570 E Fairview Ave Meridian ID 83642-1821
Phone: (208) 888-0034
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X P3657 Idaho

Profile Details

NPI number 1013117860
LBN Legal business name Melvin, Gordon Riley
Credentials RPH
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2007
Last updated Jul 20th, 2007 - about 17 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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