MEDICARE: MELINA LI PHARM.D.

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
1	183500000X	Pharmacist	058538	NY

General Provider Information

NPI Number	:	1255871315
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELINA LI PHARM.D.

Provider Business Mailing Address
First Line	:	1831 68TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11204-4436
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1831 68TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11204-4436
Country	:	US
Telephone Number	:	646-468-1083
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/08/2017
Last Update Date	:	03/08/2017

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Directions to “ MELINA LI PHARM.D.” Practice Location

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