Provider Demographics
NPI:1669642245
Name:DELONEY, MELISSA SANDERS (DOCTOR OF PHARMACY)
Entity Type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:SANDERS
Last Name:DELONEY
Suffix:
Gender:F
Credentials:DOCTOR OF PHARMACY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:591 S UNION AVE
Mailing Address - Street 2:
Mailing Address - City:OZARK
Mailing Address - State:AL
Mailing Address - Zip Code:36360-1834
Mailing Address - Country:US
Mailing Address - Phone:334-774-8505
Mailing Address - Fax:
Practice Address - Street 1:591 S UNION AVE
Practice Address - Street 2:
Practice Address - City:OZARK
Practice Address - State:AL
Practice Address - Zip Code:36360-1834
Practice Address - Country:US
Practice Address - Phone:334-774-8505
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-03-10
Last Update Date:2008-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL14690183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist