Provider Demographics
NPI:1114361912
Name:KARR, MELISSA ANN (PHARMD, RPH)
Entity Type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:ANN
Last Name:KARR
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2255 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:LONGMONT
Mailing Address - State:CO
Mailing Address - Zip Code:80501-1488
Mailing Address - Country:US
Mailing Address - Phone:303-772-7552
Mailing Address - Fax:303-682-7443
Practice Address - Street 1:2255 MAIN ST
Practice Address - Street 2:
Practice Address - City:LONGMONT
Practice Address - State:CO
Practice Address - Zip Code:80501-1488
Practice Address - Country:US
Practice Address - Phone:303-772-7552
Practice Address - Fax:303-682-7443
Is Sole Proprietor?:No
Enumeration Date:2013-04-23
Last Update Date:2016-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO16635183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist