MEDICARE: DR. DAVID M MELIKIAN 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	1835P1200X	Pharmacotherapy Pharmacist	28846	CA

General Provider Information

NPI Number	:	1730171315
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID M MELIKIAN PHARM.D.

Provider Business Mailing Address
First Line	:	1279 JACKSON SPRINGS RD
Second Line	:
City	:	MACON
State	:	GA
Zip	:	31211-1731
Country	:	US
Telephone Number	:	478-741-7461
Fax Number	:

Provider Business Practice Location Address
First Line	:	1279 JACKSON SPRINGS RD
Second Line	:
City	:	MACON
State	:	GA
Zip	:	31211-1731
Country	:	US
Telephone Number	:	478-741-7461
Fax Number	:

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

Provider Enumeration Date	:	08/18/2005
Last Update Date	:	07/08/2007

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