Provider Demographics
NPI:1891905931
Name:TEMPEL, MEL (RPH)
Entity type:Individual
Prefix:
First Name:MEL
Middle Name:
Last Name:TEMPEL
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2901
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:AZ
Mailing Address - Zip Code:85232-2901
Mailing Address - Country:US
Mailing Address - Phone:520-868-8442
Mailing Address - Fax:520-868-1547
Practice Address - Street 1:3250 N PINAL PKWY
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:AZ
Practice Address - Zip Code:85232-9459
Practice Address - Country:US
Practice Address - Phone:520-868-8442
Practice Address - Fax:520-868-1547
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMRP00005390183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist