Provider Demographics
NPI:1316229586
Name:EVERITT, MELISSA BREE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:BREE
Last Name:EVERITT
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 1:3145 VALLEY GREEN LN
Mailing Address - Street 2:
Mailing Address - City:NAPA
Mailing Address - State:CA
Mailing Address - Zip Code:94558-5416
Mailing Address - Country:US
Mailing Address - Phone:707-557-0103
Mailing Address - Fax:707-557-0113
Practice Address - Street 1:210 AMERICAN CANYON RD
Practice Address - Street 2:
Practice Address - City:AMERICAN CANYON
Practice Address - State:CA
Practice Address - Zip Code:94503-3004
Practice Address - Country:US
Practice Address - Phone:707-557-0103
Practice Address - Fax:707-557-0113
Is Sole Proprietor?:No
Enumeration Date:2011-09-14
Last Update Date:2011-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA54618183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist