Provider Demographics
NPI:1902828965
Name:DODD, MELANIE A (PHARMD,PHC,RPH)
Entity Type:Individual
Prefix:DR
First Name:MELANIE
Middle Name:A
Last Name:DODD
Suffix:
Gender:F
Credentials:PHARMD,PHC,RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2502 MARBLE NE
Mailing Address - Street 2:COLLEGE OF PHARMACY
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87131-0001
Mailing Address - Country:US
Mailing Address - Phone:505-272-4998
Mailing Address - Fax:505-272-6749
Practice Address - Street 1:1101 MEDICAL ARTS AVE NE BLDG 4
Practice Address - Street 2:UNM SENIOR HEALTH CENTER
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87102-2706
Practice Address - Country:US
Practice Address - Phone:505-272-1754
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2023-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMRP000056581835P1200X
NMPC1211835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
No1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy