Gordon Riley Melvin, RPH

NPI #1013117860 in Meridian, Idaho

Provider Information

NPI Number: 1013117860
Entity Type: Individual
Name: Gordon Riley Melvin, RPH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: Jul 20, 2007
Last Updated: Jul 20, 2007

Practice Location

Address: 1570 E FAIRVIEW AVE
City: Meridian
State: Idaho
ZIP Code: 83642-1821
Phone: (208) 888-0034

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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