MEDICARE: MELANIE A CHE-SAMA 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
1	183500000X	Pharmacist	68948	TX

General Provider Information

NPI Number	:	1093489684
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELANIE A CHE-SAMA PHARMD

Provider Business Mailing Address
First Line	:	919 RACELAND RD
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78245-3790
Country	:	US
Telephone Number	:	352-219-9648
Fax Number	:

Provider Business Practice Location Address
First Line	:	11603 W COKER LOOP
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78216-3098
Country	:	US
Telephone Number	:	210-494-1245
Fax Number	:	210-209-0289

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

Provider Enumeration Date	:	08/06/2021
Last Update Date	:	08/06/2021

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Directions to “ MELANIE A CHE-SAMA PHARMD” Practice Location

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