Provider Demographics
NPI:1528390283
Name:IRONS, MELINDA DAWN (RPH)
Entity Type:Individual
Prefix:MRS
First Name:MELINDA
Middle Name:DAWN
Last Name:IRONS
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1135 UNDERHILL RD
Mailing Address - Street 2:
Mailing Address - City:EAST AURORA
Mailing Address - State:NY
Mailing Address - Zip Code:14052-3025
Mailing Address - Country:US
Mailing Address - Phone:716-655-7875
Mailing Address - Fax:
Practice Address - Street 1:65 GREY ST
Practice Address - Street 2:
Practice Address - City:EAST AURORA
Practice Address - State:NY
Practice Address - Zip Code:14052-2126
Practice Address - Country:US
Practice Address - Phone:716-655-6381
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-02-05
Last Update Date:2010-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY040808183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist