MEDICARE: LAURA MELEIS

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	183700000X	Pharmacy Technician

General Provider Information

NPI Number	:	1629320759
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURA MELEIS

Provider Business Mailing Address
First Line	:	200 PERKINS DR
Second Line	:	APT 304
City	:	CHAPEL HILL
State	:	NC
Zip	:	27514-6685
Country	:	US
Telephone Number	:	954-328-8839
Fax Number	:

Provider Business Practice Location Address
First Line	:	301 PHARMACY LN
Second Line	:
City	:	CHAPEL HILL
State	:	NC
Zip	:	27599-5067
Country	:	US
Telephone Number	:	954-328-8839
Fax Number	:

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

Provider Enumeration Date	:	10/13/2012
Last Update Date	:	10/13/2012

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Directions to “ LAURA MELEIS ” Practice Location

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