Provider Demographics
NPI:1609009703
Name:OEI-ROYLE, MELLISA S (PHARMD)
Entity Type:Individual
Prefix:
First Name:MELLISA
Middle Name:S
Last Name:OEI-ROYLE
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 1:93 LINCOLNVILLE AVE
Mailing Address - Street 2:
Mailing Address - City:BELFAST
Mailing Address - State:ME
Mailing Address - Zip Code:04915-6461
Mailing Address - Country:US
Mailing Address - Phone:207-338-1918
Mailing Address - Fax:
Practice Address - Street 1:93 LINCOLNVILLE AVE
Practice Address - Street 2:
Practice Address - City:BELFAST
Practice Address - State:ME
Practice Address - Zip Code:04915-6461
Practice Address - Country:US
Practice Address - Phone:207-338-1918
Practice Address - Fax:207-338-1276
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-24
Last Update Date:2020-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPH232407183500000X
MEPR5713183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist