Organization
MELODY PHARMACY INC
Active
Other names
MELODY PHARMACY INC.
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL EGBERONGBE (PRESIDENT, RPH)
(305) 625-0018
Entity
Organization
Contact information
Practice address
17639 NW 27TH AVE, MIAMI GARDENS, FL 33056-4007
(305) 625-0018
(305) 625-0020
Mailing address
17639 NW 27TH AVE, MIAMI GARDENS, FL 33056-4007
(305) 625-0018
(305) 625-0020
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH26044
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000000000
—
FL
01
—
2134690
PK
—
Enumeration date
03/12/2012
Last updated
03/10/2017
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