Melville Pharmacy and Gift Shoppe Inc
Organization Active NPI Community/Retail Pharmacy · Washington, LA
NPI 1043368095 · NPPES record last updated Nov 23, 2016
Key facts
- NPI
- 1043368095
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- PHY.002980-IR (LA)
- Legal business name
- MELVILLE PHARMACY AND GIFT SHOPPE INC
- Practice address
- 6637 Highway 10
Washington, LA 70589 - Phone
- (337) 623-9992
- Fax
- (337) 623-9964
- NPI assigned
- Jan 8, 2007
- Organization subpart
- No
Authorized official
- Name
- Terry Mengarelli, RPH
- Title
- Owner
- Phone
- (337) 623-9964
Practitioners 2
-
Crystal Marie Sattler, PHARMD
National Provider Directory
Locations
6637 Highway 10
Washington, LA 70589
Phone (337) 623-9992
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | PHY.002980-IR | LA | Yes |
Addresses
Primary practice location
6637 Highway 10
Washington, LA 70589
Mailing address
6637 Highway 10
Washington, LA 70589
Phone (337) 623-9992
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2033279 | Other | PK | |
| 1261904 | Medicaid | LA |
Other names
- St. Landry Pharmacy
Other providers in Washington, LA
- John Byron Lee
- LHC Group Pharmaceutical Services III, LLC
- Malaner Edwards Gallow
- Malaner Edwards Gallow
- Alissa Denae' Marks
- Bridget Ortego
- Our Lady of Guadalupe Pharmacy
- Crystal Marie Sattler
- Olivia Muller Smith
- Shelly Marie Spaulding
All providers in Washington, LA · Community/Retail Pharmacy in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 23, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.