Provider Demographics
NPI:1346131505
Name:VALLEROY, MELONIE (PHRMD)
Entity type:Individual
Prefix:
First Name:MELONIE
Middle Name:
Last Name:VALLEROY
Suffix:
Gender:F
Credentials:PHRMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7106 BIRCHBARK CT
Mailing Address - Street 2:
Mailing Address - City:FAIRVIEW
Mailing Address - State:TN
Mailing Address - Zip Code:37062-9354
Mailing Address - Country:US
Mailing Address - Phone:931-639-2712
Mailing Address - Fax:931-639-2712
Practice Address - Street 1:661 E LANE ST
Practice Address - Street 2:
Practice Address - City:SHELBYVILLE
Practice Address - State:TN
Practice Address - Zip Code:37160-3437
Practice Address - Country:US
Practice Address - Phone:931-684-9987
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-14
Last Update Date:2025-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN48999183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist