Provider Demographics
NPI:1649582073
Name:CRAIN, MELISSA H (RPH)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:H
Last Name:CRAIN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4218 MANORFIELD DR
Mailing Address - Street 2:
Mailing Address - City:SEABROOK
Mailing Address - State:TX
Mailing Address - Zip Code:77586-4213
Mailing Address - Country:US
Mailing Address - Phone:281-474-5231
Mailing Address - Fax:713-910-5789
Practice Address - Street 1:3707 SPENCER HWY
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77504-1113
Practice Address - Country:US
Practice Address - Phone:713-946-4650
Practice Address - Fax:713-910-5789
Is Sole Proprietor?:No
Enumeration Date:2010-07-14
Last Update Date:2010-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX35438183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist