Provider Demographics
NPI:1225279763
Name:MELBYE, RICK JOHN (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:RICK
Middle Name:JOHN
Last Name:MELBYE
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3210 RIVERSHORE DR
Mailing Address - Street 2:
Mailing Address - City:MOORHEAD
Mailing Address - State:MN
Mailing Address - Zip Code:56560-5549
Mailing Address - Country:US
Mailing Address - Phone:952-237-6788
Mailing Address - Fax:
Practice Address - Street 1:3210 RIVERSHORE DR
Practice Address - Street 2:
Practice Address - City:MOORHEAD
Practice Address - State:MN
Practice Address - Zip Code:56560-5549
Practice Address - Country:US
Practice Address - Phone:952-237-6788
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-03-12
Last Update Date:2009-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1166301835P0018X
ND46651835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
No1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy