Individual
MRS. MELODIE HAMILTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
179 E BLOOMINGDALE AVE, BRANDON, FL 33511-8102
(813) 681-9858
(813) 661-3602
Mailing address
179 E BLOOMINGDALE AVE, BRANDON, FL 33511-8102
(813) 681-9858
(813) 661-3602
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1659392959
PHARMACY
—
01
—
1659692959
RETAIL PHARMACY
—
Enumeration date
11/06/2017
Last updated
11/06/2017
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