MEDICARE: MELS PHARMACY

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	10869	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1174666457
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MELS PHARMACY

Provider Business Mailing Address
First Line	:	1734 S 9TH ST
Second Line	:
City	:	MONROE
State	:	LA
Zip	:	71202-3526
Country	:	US
Telephone Number	:	318-387-6725
Fax Number	:	318-387-6723

Provider Business Practice Location Address
First Line	:	1734 S 9TH ST
Second Line	:
City	:	MONROE
State	:	LA
Zip	:	71202-3526
Country	:	US
Telephone Number	:	318-387-6725
Fax Number	:	318-387-6723

Authorized Official
Title or Position	:	OWNER
Name	:	MR. CURLEE MELVIN FRENCH
Credential	:	P.D.
Telephone Number	:	318-387-6725

Provider Enumeration Date	:	02/15/2007
Last Update Date	:	06/26/2008

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Directions to “MELS PHARMACY ” Practice Location

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