Provider Demographics
NPI:1851683239
Name:STEIN, MELVIN FRANK
Entity Type:Individual
Prefix:MR
First Name:MELVIN
Middle Name:FRANK
Last Name:STEIN
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 1:1010 S OCEAN BLVD
Mailing Address - Street 2:910
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33062-6666
Mailing Address - Country:US
Mailing Address - Phone:954-545-3486
Mailing Address - Fax:
Practice Address - Street 1:1010 S OCEAN BLVD
Practice Address - Street 2:910
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33062-6666
Practice Address - Country:US
Practice Address - Phone:954-545-3486
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-04
Last Update Date:2016-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT0330002166183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist