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NPI Code Detail

MEDICARE: MELBA MANALANG SALES

MEDICARE: MELBA MANALANG SALES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist49052CA

General Provider Information

NPI Number : 1073021887
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELBA MANALANG SALES
Provider Business Mailing Address
First Line : 19846 CRYSTAL RIDGE LN
Second Line :
City : PORTER RANCH
State : CA
Zip : 91326-3856
Country : US
Telephone Number : 818-363-4067
Fax Number :
Provider Business Practice Location Address
First Line : 19821 RINALDI ST
Second Line :
City : PORTER RANCH
State : CA
Zip : 91326-4145
Country : US
Telephone Number : 818-363-4067
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/15/2018
Last Update Date : 01/15/2018

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Directions to “ MELBA MANALANG SALES ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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