Provider Demographics
NPI:1033730585
Name:ARRINGTON, MELODY RAE
Entity Type:Individual
Prefix:
First Name:MELODY
Middle Name:RAE
Last Name:ARRINGTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:136 CAMBRIDGE WOODS DR
Mailing Address - Street 2:
Mailing Address - City:MCDONOUGH
Mailing Address - State:GA
Mailing Address - Zip Code:30252-6671
Mailing Address - Country:US
Mailing Address - Phone:404-725-4863
Mailing Address - Fax:
Practice Address - Street 1:62 KEYS FERRY ST
Practice Address - Street 2:
Practice Address - City:MCDONOUGH
Practice Address - State:GA
Practice Address - Zip Code:30253-3298
Practice Address - Country:US
Practice Address - Phone:770-957-1851
Practice Address - Fax:770-957-7434
Is Sole Proprietor?:No
Enumeration Date:2020-05-06
Last Update Date:2020-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH017976183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist