Provider Demographics
NPI:1477701407
Name:HUNSICKER, MELANNIE LYNNE (PHARMD)
Entity Type:Individual
Prefix:MRS
First Name:MELANNIE
Middle Name:LYNNE
Last Name:HUNSICKER
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 1:3761 COUNTY ROAD 190
Mailing Address - Street 2:
Mailing Address - City:BELLE CENTER
Mailing Address - State:OH
Mailing Address - Zip Code:43310-9666
Mailing Address - Country:US
Mailing Address - Phone:937-464-5634
Mailing Address - Fax:
Practice Address - Street 1:3761 COUNTY ROAD 190
Practice Address - Street 2:
Practice Address - City:BELLE CENTER
Practice Address - State:OH
Practice Address - Zip Code:43310-9666
Practice Address - Country:US
Practice Address - Phone:937-464-5634
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-03
Last Update Date:2008-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03-2-21064183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist