Most Relevant Information
Provider Data
| NPI Number: | 1003210857 |
| Provider Name: | PATRICK DEMELLO |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | S020894 |
Most Important Dates
| Enumeration Date: | 10/21/2014 |
| Last Updated: | 10/21/2014 |
Provider Practice Location
15514 W WADDELL RD
SURPRISE
AZ
853795167
Practice Location Phone/Fax
| Phone: | 6253215054 |
| Fax: |
Provider Mailing Location
17600 N 79TH AVE APT 624
GLENDALE
AZ
853088685
Provider Mailing Phone/Fax
| Phone: | 3108197056 |
| Fax: |