Provider Demographics
NPI:1629554068
Name:ENGLISH, MELANDY N (PHARMD, MPH)
Entity Type:Individual
Prefix:
First Name:MELANDY
Middle Name:N
Last Name:ENGLISH
Suffix:
Gender:F
Credentials:PHARMD, MPH
Other - Prefix:
Other - First Name:MELANDY
Other - Middle Name:N
Other - Last Name:HERBA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD, MPH
Mailing Address - Street 1:205 W MARION ST
Mailing Address - Street 2:
Mailing Address - City:KERSHAW
Mailing Address - State:SC
Mailing Address - Zip Code:29067-1412
Mailing Address - Country:US
Mailing Address - Phone:803-475-4704
Mailing Address - Fax:803-475-4708
Practice Address - Street 1:2390 MOUNT HEBRON RD
Practice Address - Street 2:
Practice Address - City:CASSATT
Practice Address - State:SC
Practice Address - Zip Code:29032-9617
Practice Address - Country:US
Practice Address - Phone:803-459-4157
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-18
Last Update Date:2022-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC37720183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist