Provider Demographics
NPI:1851588867
Name:STRICKLAND-RUFUS, MELANIE LATRICE (RPH)
Entity Type:Individual
Prefix:
First Name:MELANIE
Middle Name:LATRICE
Last Name:STRICKLAND-RUFUS
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:602 MAISIE CT
Mailing Address - Street 2:
Mailing Address - City:LONGVIEW
Mailing Address - State:TX
Mailing Address - Zip Code:75604-3752
Mailing Address - Country:US
Mailing Address - Phone:903-931-1002
Mailing Address - Fax:
Practice Address - Street 1:602 MAISIE CT
Practice Address - Street 2:
Practice Address - City:LONGVIEW
Practice Address - State:TX
Practice Address - Zip Code:75604-3752
Practice Address - Country:US
Practice Address - Phone:903-931-1002
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-03
Last Update Date:2007-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX40676183500000X
LA16807183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist