MEDICARE: MAROUENE MELKI 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	19145	AL

General Provider Information

NPI Number	:	1356863138
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAROUENE MELKI PHARMD

Provider Business Mailing Address
First Line	:	3864 US HIGHWAY 80 W
Second Line	:
City	:	PHENIX CITY
State	:	AL
Zip	:	36870-6526
Country	:	US
Telephone Number	:	334-408-6068
Fax Number	:	334-408-6067

Provider Business Practice Location Address
First Line	:	3864 US HIGHWAY 80 W
Second Line	:
City	:	PHENIX CITY
State	:	AL
Zip	:	36870-6526
Country	:	US
Telephone Number	:	334-408-6068
Fax Number	:	334-408-6067

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

Provider Enumeration Date	:	07/12/2017
Last Update Date	:	07/21/2022

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Directions to “ MAROUENE MELKI PHARMD” Practice Location

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