Provider Demographics
NPI:1740559038
Name:DELANEY, MELINDA KAY (PHARM D)
Entity Type:Individual
Prefix:MRS
First Name:MELINDA
Middle Name:KAY
Last Name:DELANEY
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 NE PINE ISLAND RD
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33909-2560
Mailing Address - Country:US
Mailing Address - Phone:239-242-2231
Mailing Address - Fax:
Practice Address - Street 1:4 NE PINE ISLAND RD
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33909-2560
Practice Address - Country:US
Practice Address - Phone:239-242-2231
Practice Address - Fax:239-242-2235
Is Sole Proprietor?:No
Enumeration Date:2011-12-15
Last Update Date:2011-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS34261183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist