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NPI Code Detail

MEDICARE: DR. MELANIE ELIZABETH MCCORMICK PHARMD

MEDICARE: DR. MELANIE ELIZABETH MCCORMICK PHARMD
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
1183500000XPharmacistS017337AZ

General Provider Information

NPI Number : 1326358292
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MELANIE ELIZABETH MCCORMICK PHARMD
Provider Business Mailing Address
First Line : 221 S QUARTZ ST
Second Line :
City : GILBERT
State : AZ
Zip : 85296-1934
Country : US
Telephone Number : 480-208-2014
Fax Number :
Provider Business Practice Location Address
First Line : 2601 S HOUGHTON RD
Second Line :
City : TUCSON
State : AZ
Zip : 85730-1525
Country : US
Telephone Number : 520-751-8523
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/13/2010
Last Update Date : 10/13/2010

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