Provider Demographics
NPI:1689231599
Name:MELCHIORI, RUTH TAYLOR (PHARMD)
Entity Type:Individual
Prefix:MRS
First Name:RUTH
Middle Name:TAYLOR
Last Name:MELCHIORI
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:PO BOX 363
Mailing Address - Street 2:
Mailing Address - City:WOODBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06798-0363
Mailing Address - Country:US
Mailing Address - Phone:203-263-2595
Mailing Address - Fax:203-263-7244
Practice Address - Street 1:185 GROVE ST
Practice Address - Street 2:
Practice Address - City:WATERBURY
Practice Address - State:CT
Practice Address - Zip Code:06710-2289
Practice Address - Country:US
Practice Address - Phone:203-575-0199
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-26
Last Update Date:2019-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0018831183500000X
CTPCT.0011831183500000X, 1835P0018X
CT0011831183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist