Organization
MEL PHARM INC.
Active
Other names
Madera Medical Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SIRTAJ SINGH PHARMD (OWNER/PRESIDENT)
(559) 674-8553
Entity
Organization
Contact information
Practice address
402 S. MADERA AVE STE A, MADERA, CA 93637-3203
(559) 674-8553
(559) 674-0947
Mailing address
402 S. MADERA AVE STE A, MADERA, CA 93637-3203
(559) 674-8553
(559) 674-0947
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
PHY53630
CA
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1999775
PK
—
05
—
PHA393920
—
CA
01
—
PHY75698
PHARMACY LICENSE
CA
Enumeration date
06/20/2005
Last updated
01/30/2020
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