Provider Demographics
NPI:1396385282
Name:MERCER, MELINDA (RPH)
Entity Type:Individual
Prefix:
First Name:MELINDA
Middle Name:
Last Name:MERCER
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34 BAHIA AVE
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34472-2213
Mailing Address - Country:US
Mailing Address - Phone:352-537-3102
Mailing Address - Fax:
Practice Address - Street 1:34 BAHIA AVE
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34472-2213
Practice Address - Country:US
Practice Address - Phone:352-234-9774
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-09
Last Update Date:2020-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS0030730183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist