Individual
MIA LOVE MELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1840 S STAPLEY DR STE 101, MESA, AZ 85204-6682
(800) 233-3264
Mailing address
1105 E FERN DR N, PHOENIX, AZ 85014-3244
(480) 259-5956
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S027162
AZ
Other
Enumeration date
12/31/2024
Last updated
12/31/2024
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