Provider Demographics
NPI:1083839583
Name:MELENDEZ, ERNA (RPH REGISTERED PHARM)
Entity Type:Individual
Prefix:MRS
First Name:ERNA
Middle Name:
Last Name:MELENDEZ
Suffix:
Gender:F
Credentials:RPH REGISTERED PHARM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:URB LAGO HORIZONTE 2027 ZAFIRO ST
Mailing Address - Street 2:
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00780-2417
Mailing Address - Country:US
Mailing Address - Phone:787-207-3678
Mailing Address - Fax:
Practice Address - Street 1:FARMACIA GLENVIEW #14 ROAD PLAZA LAS MONJITAS
Practice Address - Street 2:SUITE 107
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00731
Practice Address - Country:US
Practice Address - Phone:787-844-3650
Practice Address - Fax:787-844-3650
Is Sole Proprietor?:No
Enumeration Date:2007-04-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR3604183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist