Provider Demographics
NPI:1851679435
Name:COVERT, MELISSA (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:
Last Name:COVERT
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 1:808 PARK RIDGE RD
Mailing Address - Street 2:B7
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27713-9231
Mailing Address - Country:US
Mailing Address - Phone:814-558-9143
Mailing Address - Fax:
Practice Address - Street 1:5111 WAKE FOREST RD
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27703-3704
Practice Address - Country:US
Practice Address - Phone:919-957-4512
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-29
Last Update Date:2011-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC21372183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist