Provider Demographics
NPI:1003385857
Name:MELNIK, YANA V (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:YANA
Middle Name:V
Last Name:MELNIK
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:MISS
Other - First Name:YANA
Other - Middle Name:V
Other - Last Name:DATSKAYA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:37686 18TH PL S
Mailing Address - Street 2:
Mailing Address - City:FEDERAL WAY
Mailing Address - State:WA
Mailing Address - Zip Code:98003-7574
Mailing Address - Country:US
Mailing Address - Phone:253-632-0092
Mailing Address - Fax:
Practice Address - Street 1:13030 MILITARY RD S STE 206
Practice Address - Street 2:
Practice Address - City:TUKWILA
Practice Address - State:WA
Practice Address - Zip Code:98168-3080
Practice Address - Country:US
Practice Address - Phone:206-839-3600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-21
Last Update Date:2020-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH60870992183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist