Organization
HAMID DINO MOHEBBI
Active
Other names
Melrose Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DINO MOHEBBI (PHARMACIST)
(305) 576-1706
Entity
Organization
Contact information
Practice address
169 NW 36TH ST, MIAMI, FL 33127-3107
(305) 576-1706
Mailing address
169 NW 36TH ST, MIAMI, FL 33127-3107
(305) 576-1706
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH25572
FL
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5706734
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
07/11/2011
Last updated
03/04/2013
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