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NPI Code Detail

MEDICARE: DR. MELODY CRYSTALLE CASTRO PHARM.D.

MEDICARE: DR. MELODY CRYSTALLE CASTRO 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
1183500000XPharmacistPS46676FL

General Provider Information

NPI Number : 1679811020
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MELODY CRYSTALLE CASTRO PHARM.D.
Provider Business Mailing Address
First Line : 5998 MOBILE HWY
Second Line :
City : PENSACOLA
State : FL
Zip : 32526-1873
Country : US
Telephone Number : 850-941-8157
Fax Number : 850-941-8163
Provider Business Practice Location Address
First Line : 5998 MOBILE HWY
Second Line :
City : PENSACOLA
State : FL
Zip : 32526-1873
Country : US
Telephone Number : 850-941-8157
Fax Number : 850-941-8163
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/18/2013
Last Update Date : 01/18/2013

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