Provider Demographics
NPI:1386721363
Name:HOWARD, MELISSA RUTH (PHARMD)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:RUTH
Last Name:HOWARD
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 1:4102 PINION DR # 10MDG
Mailing Address - Street 2:
Mailing Address - City:U S A F ACADEMY
Mailing Address - State:CO
Mailing Address - Zip Code:80840-2502
Mailing Address - Country:US
Mailing Address - Phone:719-333-5290
Mailing Address - Fax:210-292-7705
Practice Address - Street 1:4102 PINION DR # 10MDG
Practice Address - Street 2:
Practice Address - City:U S A F ACADEMY
Practice Address - State:CO
Practice Address - Zip Code:80840-2502
Practice Address - Country:US
Practice Address - Phone:719-333-5290
Practice Address - Fax:210-292-7705
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2011-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN8845183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist