MEDICARE: DR. MELISSA YANARELLA PHARM.D

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	20049920	NY

General Provider Information

NPI Number	:	1780908095
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MELISSA YANARELLA PHARM.D

Provider Business Mailing Address
First Line	:	116 AUTUMN DR
Second Line	:
City	:	POUGHKEEPSIE
State	:	NY
Zip	:	12603-5685
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3 WASHINGTON CTR
Second Line	:
City	:	NEWBURGH
State	:	NY
Zip	:	12550-4627
Country	:	US
Telephone Number	:	845-561-4370
Fax Number	:

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

Provider Enumeration Date	:	03/16/2010
Last Update Date	:	03/16/2010

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