Provider Demographics
NPI:1366289456
Name:MELTON, ERIC (PHARMD, RPH)
Entity type:Individual
Prefix:DR
First Name:ERIC
Middle Name:
Last Name:MELTON
Suffix:
Gender:M
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:147 GOATHILL RD
Mailing Address - Street 2:
Mailing Address - City:MOORESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28117-7097
Mailing Address - Country:US
Mailing Address - Phone:704-996-4473
Mailing Address - Fax:
Practice Address - Street 1:147 GOATHILL RD
Practice Address - Street 2:
Practice Address - City:MOORESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28117-7097
Practice Address - Country:US
Practice Address - Phone:704-996-4473
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-15
Last Update Date:2024-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC33040183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist