Melissa Koblitz | Alpharetta, GA • PECOS Search

Melissa Koblitz

Pharmacist

Pharmacy Service Providers

3020 Windward Plz, Alpharetta, GA 30005-7449

PECOS Enrollment

Based on the most recent information from CMS, provider Melissa Koblitz 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 4 days ago.

Profile Details

Provider ID
1942802715
Provider Type
Individual
Full Name
Koblitz, Melissa
Gender
Female

Sole Proprietor
Yes
Enumeration Date
11/16/2020
Last Updated
11/16/2020

Contact Information

Practice Location

3020 Windward Plz, Alpharetta, GA 30005-7449

Unlisted Fax

Mailing Location

6382 Lucent Ln, Atlanta, GA 30328-2893

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 183500000X Primary	Description Pharmacist Pharmacy Service Providers	License RPH016225 Georgia