Provider Demographics
NPI:1336476316
Name:RIVES, MELANIE STEWART (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:MELANIE
Middle Name:STEWART
Last Name:RIVES
Suffix:
Gender:F
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 1:3435 LAKEVIEW PKWY
Mailing Address - Street 2:
Mailing Address - City:ROWLETT
Mailing Address - State:TX
Mailing Address - Zip Code:75088-3368
Mailing Address - Country:US
Mailing Address - Phone:972-463-6500
Mailing Address - Fax:972-463-6232
Practice Address - Street 1:3435 LAKEVIEW PKWY
Practice Address - Street 2:
Practice Address - City:ROWLETT
Practice Address - State:TX
Practice Address - Zip Code:75088-3368
Practice Address - Country:US
Practice Address - Phone:972-463-6500
Practice Address - Fax:972-463-6232
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-11
Last Update Date:2009-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX41816183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist