Provider Demographics
NPI:1396849642
Name:BROWN, MELISSA MORRISON (PHARMD)
Entity Type:Individual
Prefix:MRS
First Name:MELISSA
Middle Name:MORRISON
Last Name:BROWN
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 1:2515 E. HUNTSVILLE ROAD
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72701
Mailing Address - Country:US
Mailing Address - Phone:479-443-3411
Mailing Address - Fax:479-443-3412
Practice Address - Street 1:2515 E. HUNTSVILLE ROAD
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:AR
Practice Address - Zip Code:72701
Practice Address - Country:US
Practice Address - Phone:479-443-3411
Practice Address - Fax:479-443-3412
Is Sole Proprietor?:No
Enumeration Date:2006-09-08
Last Update Date:2010-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPD8634183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist