Provider Demographics
NPI:1508293721
Name:RADI, MELANIE BETH (PHARMD)
Entity Type:Individual
Prefix:
First Name:MELANIE
Middle Name:BETH
Last Name:RADI
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 1:500 NOBLESTOWN RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:CARNEGIE
Mailing Address - State:PA
Mailing Address - Zip Code:15106-1230
Mailing Address - Country:US
Mailing Address - Phone:412-353-4120
Mailing Address - Fax:
Practice Address - Street 1:500 NOBLESTOWN RD
Practice Address - Street 2:SUITE 200
Practice Address - City:CARNEGIE
Practice Address - State:PA
Practice Address - Zip Code:15106-1230
Practice Address - Country:US
Practice Address - Phone:412-353-4120
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-02
Last Update Date:2013-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP441614183500000X
MD21995183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist