Provider Demographics
NPI:1760953780
Name:MELBER, EDWARD FRANKLIN
Entity Type:Individual
Prefix:
First Name:EDWARD
Middle Name:FRANKLIN
Last Name:MELBER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:114 CARBON ST
Mailing Address - Street 2:
Mailing Address - City:WEATHERLY
Mailing Address - State:PA
Mailing Address - Zip Code:18255-1435
Mailing Address - Country:US
Mailing Address - Phone:570-427-4887
Mailing Address - Fax:570-427-4891
Practice Address - Street 1:114 CARBON ST
Practice Address - Street 2:
Practice Address - City:WEATHERLY
Practice Address - State:PA
Practice Address - Zip Code:18255-1435
Practice Address - Country:US
Practice Address - Phone:570-427-4887
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-17
Last Update Date:2018-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP033658L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist