MEDICARE: MEL TEMPEL RPH

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	RP00005390	NM

General Provider Information

NPI Number	:	1891905931
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEL TEMPEL RPH

Provider Business Mailing Address
First Line	:	PO BOX 2901
Second Line	:
City	:	FLORENCE
State	:	AZ
Zip	:	85232-2901
Country	:	US
Telephone Number	:	520-868-8442
Fax Number	:	520-868-1547

Provider Business Practice Location Address
First Line	:	3250 N PINAL PKWY
Second Line	:
City	:	FLORENCE
State	:	AZ
Zip	:	85232-9459
Country	:	US
Telephone Number	:	520-868-8442
Fax Number	:	520-868-1547

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

Provider Enumeration Date	:	05/23/2007
Last Update Date	:	07/08/2007

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Directions to “ MEL TEMPEL RPH” Practice Location

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