Wilden, Melanie Sue
Wilden, Melanie Sue is an individual health care provider with primary practice located at 2360 Highway 95 , Bullhead City AZ 86442-7303. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Wilden, Melanie Sue can be contacted via phone (928) 763-5858.Contact Information
Primary practice address
2360 Highway 95
Bullhead City AZ 86442-7303
Phone: (928) 763-5858
Fax: (928) 763-0972
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | S016015 | Arizona |
Profile Details
| NPI number | 1992010391 |
|---|---|
| LBN Legal business name | Wilden, Melanie Sue |
| Credentials | RPH |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 10th, 2010 |
| Last updated | Aug 10th, 2010 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992010391 | NPPES |
| Arizona | Other | S016015 | STATE LICENSE |
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