Provider Demographics
NPI:1891135422
Name:OEHLER, MELANIE JEANNE (PHARMD)
Entity Type:Individual
Prefix:
First Name:MELANIE
Middle Name:JEANNE
Last Name:OEHLER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:216 FLINT BROOK DR
Mailing Address - Street 2:
Mailing Address - City:O FALLON
Mailing Address - State:MO
Mailing Address - Zip Code:63366-4994
Mailing Address - Country:US
Mailing Address - Phone:636-219-9332
Mailing Address - Fax:
Practice Address - Street 1:635 S STURGEON ST
Practice Address - Street 2:
Practice Address - City:MONTGOMERY CITY
Practice Address - State:MO
Practice Address - Zip Code:63361-2707
Practice Address - Country:US
Practice Address - Phone:573-564-1111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-27
Last Update Date:2013-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2012026221183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist