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Mia Love Melton, PharmD

Pharmacist in Mesa, AZ. Individual provider (NPI-1).

NPI number1235948688
StatusActive
Last updated in NPPESDec 31, 2024

Details

NPI
1235948688
Entity type
Individual (NPI-1)
Name
Mia Love Melton
Credential
PharmD
Sex
Female
Sole proprietor
No
Enumeration date
Dec 31, 2024
Certification date
Dec 31, 2024
Last updated
Dec 31, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X PharmacistS027162AZYes

Practice location

1840 S Stapley Dr Ste 101
Mesa, AZ 85204-6682

Phone 800-233-3264

Mailing address

1105 E Fern Dr N
Phoenix, AZ 85014-3244

Phone 480-259-5956

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