Ann Mellencamp, RPH

NPI 1386945897 · on the registry since 2010

Practice

Address: 450 White Spar Rd
Prescott, AZ 86303
Phone: (928) 778-3098
Fax: (928) 713-7474
Organisation at this address: Safeway Inc
Safeway Pharmacy
Safeway Pharmacy
1918 Winter Street Operating Co Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 7

Registry record

Primary taxonomy: Pharmacist
183500000X
Licence states on file: AZ
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2010-11-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona