Provider Demographics
NPI:1750477980
Name:MELIORA 1 POINT 0 INC
Entity Type:Organization
Organization Name:MELIORA 1 POINT 0 INC
Other - Org Name:MELORIA PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP OPERATIONS
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-515-4543
Mailing Address - Street 1:9430 WARNER AVE STE G
Mailing Address - Street 2:
Mailing Address - City:FOUNTAIN VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92708-2826
Mailing Address - Country:US
Mailing Address - Phone:888-842-5988
Mailing Address - Fax:
Practice Address - Street 1:9430 WARNER AVE STE G
Practice Address - Street 2:
Practice Address - City:FOUNTAIN VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92708-2826
Practice Address - Country:US
Practice Address - Phone:888-842-5988
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-05
Last Update Date:2022-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1750477980Medicaid
2132647OtherPK
2132647OtherPK