| NPI | 1700962255 |
|---|---|
| Former Legal Business Name | MELLINIA PHARMACY |
| Entity Type | Organization |
| Authorized Contact | ALLIF MOHAMMED R Ph President 401-770-6077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS29314) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: FL PH21266) |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2023-03-07 |