Provider Demographics
NPI:1891944310
Name:MELOCHE, GERALD ROBERT (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:GERALD
Middle Name:ROBERT
Last Name:MELOCHE
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 GOODLETTE RD N
Mailing Address - Street 2:#108
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34102-5662
Mailing Address - Country:US
Mailing Address - Phone:239-261-0050
Mailing Address - Fax:239-261-0017
Practice Address - Street 1:600 GOODLETTE RD N
Practice Address - Street 2:#108
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34102-5662
Practice Address - Country:US
Practice Address - Phone:239-261-0050
Practice Address - Fax:239-261-0017
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-09
Last Update Date:2013-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS0034322183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
1016410OtherNCPDP/NABP