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NPI Code Detail

MEDICARE: MS. LINDA SUSAN MELNICK R.PH.

MEDICARE:  MS. LINDA SUSAN MELNICK  R.PH.
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
1183500000XPharmacistPS 18602FL

General Provider Information

NPI Number : 1154666089
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LINDA SUSAN MELNICK R.PH.
Provider Business Mailing Address
First Line : 7970 BAYBERRY RD
Second Line : SUITE 4
City : JACKSONVILLE
State : FL
Zip : 32256-7480
Country : US
Telephone Number : 904-733-6099
Fax Number : 800-888-4121
Provider Business Practice Location Address
First Line : 7970 BAYBERRY RD
Second Line : SUITE 4
City : JACKSONVILLE
State : FL
Zip : 32256-7480
Country : US
Telephone Number : 904-733-6099
Fax Number : 800-888-4121
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/04/2012
Last Update Date : 12/04/2012

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Directions to “ MS. LINDA SUSAN MELNICK R.PH.” Practice Location

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