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NPI Code Detail

MEDICARE: CORALYS ANDREA MELENDEZ TUR PHARMD

MEDICARE: CORALYS ANDREA MELENDEZ TUR 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
1183500000XPharmacist70250FL
2183500000XPharmacist6801PR

General Provider Information

NPI Number : 1700488640
Entity Type Code : Individual
Provider Name (Legal Business Name) : CORALYS ANDREA MELENDEZ TUR PHARMD
Provider Business Mailing Address
First Line : URB. PRADERA ALMIRA
Second Line : AJ6 CALLE 6
City : TOA BAJA
State : PR
Zip : 00949
Country : US
Telephone Number : 787-420-1661
Fax Number :
Provider Business Practice Location Address
First Line : 3050 N WICKHAM RD
Second Line :
City : MELBOURNE
State : FL
Zip : 32935-2364
Country : US
Telephone Number : 321-751-7524
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/16/2020
Last Update Date : 03/13/2026

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Directions to “ CORALYS ANDREA MELENDEZ TUR PHARMD” Practice Location

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