Mario Antonio Delgado Melgarejo | Travis Afb, CA • PECOS Search

Mario Antonio Delgado Melgarejo

Pharmacist

Pharmacy Service Providers

101 Bodin Cir, Travis Afb, CA 94535-1809

PECOS Enrollment

Based on the most recent information from CMS, provider Mario Antonio Delgado Melgarejo does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 11:10 AM.

Profile Details

Provider ID
1831710011
Provider Type
Individual
Full Name
Delgado Melgarejo, Mario Antonio
Gender
Male

Sole Proprietor
No
Enumeration Date
4/29/2020
Last Updated
4/19/2022

Contact Information

Practice Location

101 Bodin Cir, Travis Afb, CA 94535-1809

Unlisted Fax

Mailing Location

101 Bodin Cir, Travis Afb, CA 94535-1809

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 183500000X Primary	Description Pharmacist Pharmacy Service Providers	License 80064 California