MEDICARE: MELEANE TONGA

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	183500000X	Pharmacist	26454	NC

General Provider Information

NPI Number	:	1972052256
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELEANE TONGA

Provider Business Mailing Address
First Line	:	8322 PINEVILLE MATTHEWS RD STE 601
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28226-4707
Country	:	US
Telephone Number	:	704-496-5227
Fax Number	:

Provider Business Practice Location Address
First Line	:	8322 PINEVILLE MATTHEWS RD STE 601
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28226-4707
Country	:	US
Telephone Number	:	704-496-5227
Fax Number	:

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

Provider Enumeration Date	:	09/27/2016
Last Update Date	:	09/27/2016

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Directions to “ MELEANE TONGA ” Practice Location

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