Provider Demographics
NPI:1841567831
Name:HAYDEL, MELANIE RACHAL (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:MELANIE
Middle Name:RACHAL
Last Name:HAYDEL
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:MELANIE
Other - Middle Name:BROOKE
Other - Last Name:RACHAL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:4658 VENUS ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70122-5006
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1030 LESSEPS STREET
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70117
Practice Address - Country:US
Practice Address - Phone:504-207-6287
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-19
Last Update Date:2011-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA018486183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist