Provider Demographics
NPI:1902406366
Name:USLIN, MELANIE SUE
Entity Type:Individual
Prefix:
First Name:MELANIE
Middle Name:SUE
Last Name:USLIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:63 HOUNDS RUN
Mailing Address - Street 2:
Mailing Address - City:GETTYSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17325-7890
Mailing Address - Country:US
Mailing Address - Phone:717-752-0915
Mailing Address - Fax:
Practice Address - Street 1:1881 BALTIMORE PIKE
Practice Address - Street 2:
Practice Address - City:HANOVER
Practice Address - State:PA
Practice Address - Zip Code:17331-9818
Practice Address - Country:US
Practice Address - Phone:717-630-9989
Practice Address - Fax:717-630-8604
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-27
Last Update Date:2020-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP036685L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist