Provider Demographics
NPI:1427419084
Name:SLONE, MELSTER (PHARMD)
Entity type:Individual
Prefix:MRS
First Name:MELSTER
Middle Name:
Last Name:SLONE
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 1:5571 COLLINS HWY
Mailing Address - Street 2:
Mailing Address - City:PIKEVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:41501-6846
Mailing Address - Country:US
Mailing Address - Phone:606-639-4588
Mailing Address - Fax:
Practice Address - Street 1:5571 COLLINS HWY
Practice Address - Street 2:
Practice Address - City:PIKEVILLE
Practice Address - State:KY
Practice Address - Zip Code:41501-6846
Practice Address - Country:US
Practice Address - Phone:606-639-4588
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-03-10
Last Update Date:2016-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY017778183500000X
VA0202214384183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist