Provider Demographics
NPI:1467588681
Name:WEEKS, MELISSA TILLMAN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:TILLMAN
Last Name:WEEKS
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 1:4916 BOULDER CREEK LN
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27613-6071
Mailing Address - Country:US
Mailing Address - Phone:919-844-7467
Mailing Address - Fax:
Practice Address - Street 1:4916 BOULDER CREEK LN
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27613-6071
Practice Address - Country:US
Practice Address - Phone:919-844-7467
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC8934183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist