Provider Demographics
NPI:1922388354
Name:STEVENS, MELANIE HOUGH (PHARMD)
Entity Type:Individual
Prefix:
First Name:MELANIE
Middle Name:HOUGH
Last Name:STEVENS
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 1:232 FALLING RDG
Mailing Address - Street 2:
Mailing Address - City:BELMONT
Mailing Address - State:NC
Mailing Address - Zip Code:28012-3065
Mailing Address - Country:US
Mailing Address - Phone:803-517-0804
Mailing Address - Fax:
Practice Address - Street 1:900 SHELBY RD
Practice Address - Street 2:
Practice Address - City:KINGS MOUNTAIN
Practice Address - State:NC
Practice Address - Zip Code:28086-2738
Practice Address - Country:US
Practice Address - Phone:704-729-2127
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-16
Last Update Date:2019-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX50445183500000X
NC24891183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist