Provider Demographics
NPI:1033375134
Name:MCRAE, MELANIE CHURCH (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:MELANIE
Middle Name:CHURCH
Last Name:MCRAE
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 1:20 MALLARD CT
Mailing Address - Street 2:
Mailing Address - City:GRANITE FALLS
Mailing Address - State:NC
Mailing Address - Zip Code:28630-8656
Mailing Address - Country:US
Mailing Address - Phone:919-260-1230
Mailing Address - Fax:828-572-2655
Practice Address - Street 1:510 CENTRAL ST
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:NC
Practice Address - Zip Code:28638-2401
Practice Address - Country:US
Practice Address - Phone:828-572-2655
Practice Address - Fax:828-572-2658
Is Sole Proprietor?:No
Enumeration Date:2008-07-29
Last Update Date:2024-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC16803183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist