Provider Demographics
NPI:1902125743
Name:SCHWEDHELM, MELISSA ANN (RPH)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:ANN
Last Name:SCHWEDHELM
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33 RIVER RD
Mailing Address - Street 2:
Mailing Address - City:BOGOTA
Mailing Address - State:NJ
Mailing Address - Zip Code:07603-1507
Mailing Address - Country:US
Mailing Address - Phone:201-489-7805
Mailing Address - Fax:201-489-6465
Practice Address - Street 1:33 RIVER RD
Practice Address - Street 2:
Practice Address - City:BOGOTA
Practice Address - State:NJ
Practice Address - Zip Code:07603-1507
Practice Address - Country:US
Practice Address - Phone:201-489-7805
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-19
Last Update Date:2023-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI02423600183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist