Provider Demographics
NPI:1871190678
Name:GARNER, MELINDA S (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:MELINDA
Middle Name:S
Last Name:GARNER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:MELINDA
Other - Middle Name:S
Other - Last Name:DEEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:14390 REFLECTION LAKES DR
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33907-1805
Mailing Address - Country:US
Mailing Address - Phone:813-299-3645
Mailing Address - Fax:
Practice Address - Street 1:14390 REFLECTION LAKES DR
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33907-1805
Practice Address - Country:US
Practice Address - Phone:813-299-3645
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-05
Last Update Date:2020-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL47179183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist