Provider Demographics
NPI:1194008136
Name:SMITH, MELISSA BRILEY (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:BRILEY
Last Name:SMITH
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 1:1564 S DONAHUE DR
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:AL
Mailing Address - Zip Code:36832-6212
Mailing Address - Country:US
Mailing Address - Phone:334-354-5509
Mailing Address - Fax:
Practice Address - Street 1:2015 PEPPERELL PKWY
Practice Address - Street 2:
Practice Address - City:OPELIKA
Practice Address - State:AL
Practice Address - Zip Code:36801-5441
Practice Address - Country:US
Practice Address - Phone:334-749-3073
Practice Address - Fax:334-749-7969
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-26
Last Update Date:2011-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL15241183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist