MEDICARE: MELISSA LYNN COMO PHARMD, RPH

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	PH237545	MA

General Provider Information

NPI Number	:	1215453899
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELISSA LYNN COMO PHARMD, RPH

Provider Business Mailing Address
First Line	:	45 MORGAN RD
Second Line	:
City	:	HUBBARDSTON
State	:	MA
Zip	:	01452-1602
Country	:	US
Telephone Number	:	978-227-4076
Fax Number	:

Provider Business Practice Location Address
First Line	:	52 PEARSON BLVD
Second Line	:
City	:	GARDNER
State	:	MA
Zip	:	01440-3910
Country	:	US
Telephone Number	:	978-632-4818
Fax Number	:

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

Provider Enumeration Date	:	08/16/2017
Last Update Date	:	08/16/2017

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