MEDICARE: MELVILLE A. BADWAY R.PH., CCP

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	28RI01779500	NJ
2	183500000X	Pharmacist	RP042215R	PA
3	183500000X	Pharmacist	PS45516	FL

General Provider Information

NPI Number	:	1245249465
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELVILLE A. BADWAY R.PH., CCP

Provider Business Mailing Address
First Line	:	7870 ARBOR CREST WAY
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33412-2467
Country	:	US
Telephone Number	:	610-905-4038
Fax Number	:

Provider Business Practice Location Address
First Line	:	7870 ARBOR CREST WAY
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33412-2467
Country	:	US
Telephone Number	:	610-905-4038
Fax Number	:

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

Provider Enumeration Date	:	08/05/2006
Last Update Date	:	08/18/2020

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Directions to “ MELVILLE A. BADWAY R.PH., CCP” Practice Location

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