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NPI Code Detail

MEDICARE: DR. MELONISE LYNCH PHARMD

MEDICARE: DR. MELONISE LYNCH 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
1183500000XPharmacistRP441595PA

General Provider Information

NPI Number : 1831576966
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MELONISE LYNCH PHARMD
Provider Business Mailing Address
First Line : 2518 W MASTER ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19121-4722
Country : US
Telephone Number : 215-634-4397
Fax Number :
Provider Business Practice Location Address
First Line : 338 E ALLEGHENY AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19134-2321
Country : US
Telephone Number : 215-634-4397
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/27/2015
Last Update Date : 04/27/2015

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Directions to “ DR. MELONISE LYNCH PHARMD” Practice Location

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