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
Fax: (928) 763-0972
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992010391 NPPES
Arizona Other S016015 STATE LICENSE

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