Provider Demographics
NPI:1558698910
Name:KEATEN, MELANIE KAY (PHARMD, RPH)
Entity Type:Individual
Prefix:DR
First Name:MELANIE
Middle Name:KAY
Last Name:KEATEN
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5630 FM 1387
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:TX
Mailing Address - Zip Code:76065-5214
Mailing Address - Country:US
Mailing Address - Phone:972-775-3456
Mailing Address - Fax:
Practice Address - Street 1:501 E BELT LINE RD
Practice Address - Street 2:
Practice Address - City:CEDAR HILL
Practice Address - State:TX
Practice Address - Zip Code:75104-2210
Practice Address - Country:US
Practice Address - Phone:972-291-2787
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-05
Last Update Date:2009-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX45194183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist