MEDICARE: MELANIE SANDLER RPH

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	36330	CA

General Provider Information

NPI Number	:	1316376486
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELANIE SANDLER RPH

Provider Business Mailing Address
First Line	:	2691 SAN BENITO DR
Second Line	:
City	:	WALNUT CREEK
State	:	CA
Zip	:	94598-3108
Country	:	US
Telephone Number	:	925-787-8374
Fax Number	:	925-280-4962

Provider Business Practice Location Address
First Line	:	2691 SAN BENITO DR
Second Line	:
City	:	WALNUT CREEK
State	:	CA
Zip	:	94598-3108
Country	:	US
Telephone Number	:	925-787-8374
Fax Number	:	925-280-4962

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

Provider Enumeration Date	:	11/08/2013
Last Update Date	:	11/08/2013

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