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NPI Code Detail

MEDICARE: MRS. MELANIE RENEE DALEY PHARMD

MEDICARE: MRS. MELANIE RENEE DALEY 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
1183500000XPharmacist3155WY

General Provider Information

NPI Number : 1780879262
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MELANIE RENEE DALEY PHARMD
Provider Business Mailing Address
First Line : 222 GATEWAY BLVD LOT 72
Second Line :
City : ROCK SPRINGS
State : WY
Zip : 82901-5745
Country : US
Telephone Number : 307-389-1856
Fax Number : 307-382-9042
Provider Business Practice Location Address
First Line : 70 GATEWAY BLVD
Second Line :
City : ROCK SPRINGS
State : WY
Zip : 82901-5709
Country : US
Telephone Number : 307-382-2536
Fax Number : 307-382-9042
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/07/2007
Last Update Date : 09/07/2007

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