Provider Demographics
NPI:1558650481
Name:CHEEKS-STEPHENS, MELANIE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:MELANIE
Middle Name:
Last Name:CHEEKS-STEPHENS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:MELANIE
Other - Middle Name:
Other - Last Name:CHEEKS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:57 SPAATZ DR
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:VA
Mailing Address - Zip Code:23665-2027
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:57 SPAATZ DR
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:VA
Practice Address - Zip Code:23665-2027
Practice Address - Country:US
Practice Address - Phone:757-764-6700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-31
Last Update Date:2012-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202208054183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist