Provider Demographics
NPI:1629224415
Name:TORRES, MELANIE ROSE (PHARMD)
Entity Type:Individual
Prefix:
First Name:MELANIE
Middle Name:ROSE
Last Name:TORRES
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:MELANIE
Other - Middle Name:ROSE
Other - Last Name:BATES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1650 COCHRANE CIR UNIT MEDDAC
Mailing Address - Street 2:
Mailing Address - City:FORT CARSON
Mailing Address - State:CO
Mailing Address - Zip Code:80913-4604
Mailing Address - Country:US
Mailing Address - Phone:719-526-0996
Mailing Address - Fax:630-570-5324
Practice Address - Street 1:1650 COCHRANE CIR
Practice Address - Street 2:
Practice Address - City:FORT CARSON
Practice Address - State:CO
Practice Address - Zip Code:80913-4613
Practice Address - Country:US
Practice Address - Phone:719-526-0996
Practice Address - Fax:630-570-5324
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-12
Last Update Date:2021-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO18103183500000X, 1835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
No183500000XPharmacy Service ProvidersPharmacist