Provider Demographics
NPI:1053471177
Name:STERNS, MELISSA VITEK (RPH)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:VITEK
Last Name:STERNS
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 1:5107 MCCORMICK MOUNTAIN DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78734-1813
Mailing Address - Country:US
Mailing Address - Phone:512-266-2616
Mailing Address - Fax:
Practice Address - Street 1:100 COMMONS RD
Practice Address - Street 2:STE 1
Practice Address - City:DRIPPING SPRINGS
Practice Address - State:TX
Practice Address - Zip Code:78620-4400
Practice Address - Country:US
Practice Address - Phone:512-858-7935
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX295501835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy