Provider Demographics
NPI:1285265314
Name:GILLESPIE, MELINDA POUNDS (PHARMD)
Entity type:Individual
Prefix:
First Name:MELINDA
Middle Name:POUNDS
Last Name:GILLESPIE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1005 STEFAN WALK
Mailing Address - Street 2:
Mailing Address - City:CUMMING
Mailing Address - State:GA
Mailing Address - Zip Code:30040-3561
Mailing Address - Country:US
Mailing Address - Phone:770-733-5684
Mailing Address - Fax:
Practice Address - Street 1:1595 PEACHTREE PKWY
Practice Address - Street 2:
Practice Address - City:CUMMING
Practice Address - State:GA
Practice Address - Zip Code:30041-9584
Practice Address - Country:US
Practice Address - Phone:678-455-4585
Practice Address - Fax:678-455-4588
Is Sole Proprietor?:No
Enumeration Date:2020-01-28
Last Update Date:2020-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH0213711835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist