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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
3336L0003X
Long Term Care Pharmacy
Primary
53630
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2177158
PK
05
PHA393920
CA
01
PHY75698
PHARMACY LICENSE
CA
Enumeration date
04/09/2018
Last updated
05/14/2026
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