Provider Demographics
NPI:1689294886
Name:VANMETER, MELIA ANNE
Entity Type:Individual
Prefix:
First Name:MELIA
Middle Name:ANNE
Last Name:VANMETER
Suffix:
Gender:F
Credentials:
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 99
Mailing Address - Street 2:
Mailing Address - City:GUTHRIE CENTER
Mailing Address - State:IA
Mailing Address - Zip Code:50115-0099
Mailing Address - Country:US
Mailing Address - Phone:641-747-8317
Mailing Address - Fax:
Practice Address - Street 1:307 STATE ST
Practice Address - Street 2:
Practice Address - City:GUTHRIE CENTER
Practice Address - State:IA
Practice Address - Zip Code:50115-1351
Practice Address - Country:US
Practice Address - Phone:641-747-8317
Practice Address - Fax:641-747-3217
Is Sole Proprietor?:No
Enumeration Date:2020-04-17
Last Update Date:2020-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA195401835P2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P2201XPharmacy Service ProvidersPharmacistAmbulatory Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA19540OtherIOWA BOARD OF PHARMACY LICENSE NUMBER