Provider Demographics
NPI:1194016386
Name:MCGRAW, MELISSA L (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:L
Last Name:MCGRAW
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:MELISSA
Other - Middle Name:A
Other - Last Name:LAWRENCE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:1 S PROSPECT ST STE 1413
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:VT
Mailing Address - Zip Code:05401-3579
Mailing Address - Country:US
Mailing Address - Phone:802-847-5519
Mailing Address - Fax:802-847-1076
Practice Address - Street 1:1 S PROSPECT ST STE 1413
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:VT
Practice Address - Zip Code:05401-3579
Practice Address - Country:US
Practice Address - Phone:802-847-5519
Practice Address - Fax:802-847-1076
Is Sole Proprietor?:No
Enumeration Date:2011-04-22
Last Update Date:2022-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT033.0070876183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist