Provider Demographics
NPI:1003138231
Name:LITMER, MELINDA (RPH)
Entity Type:Individual
Prefix:
First Name:MELINDA
Middle Name:
Last Name:LITMER
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 1:547 HARMONY LN
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:KY
Mailing Address - Zip Code:41001-7011
Mailing Address - Country:US
Mailing Address - Phone:859-746-2800
Mailing Address - Fax:859-746-2802
Practice Address - Street 1:7220 BURLINGTON PIKE
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:KY
Practice Address - Zip Code:41042-1586
Practice Address - Country:US
Practice Address - Phone:859-746-2800
Practice Address - Fax:859-746-2802
Is Sole Proprietor?:No
Enumeration Date:2010-02-15
Last Update Date:2010-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY013743183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist