Provider Demographics
NPI:1902193600
Name:BURLIN, MELEAH (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:MELEAH
Middle Name:
Last Name:BURLIN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8710 MONTGOMERY BLVD NE
Mailing Address - Street 2:T-0356
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87111-2308
Mailing Address - Country:US
Mailing Address - Phone:505-348-0066
Mailing Address - Fax:
Practice Address - Street 1:8710 MONTGOMERY BLVD NE
Practice Address - Street 2:T-0356
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87111-2308
Practice Address - Country:US
Practice Address - Phone:505-348-0066
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-30
Last Update Date:2011-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMRP00006693183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist