Provider Demographics
NPI:1134446867
Name:HAGGARD, MELANIE ANNE (PHARMD)
Entity type:Individual
Prefix:
First Name:MELANIE
Middle Name:ANNE
Last Name:HAGGARD
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:MELANIE
Other - Middle Name:ANNE
Other - Last Name:NAISBITT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:1600 EUREKA RD
Mailing Address - Street 2:INPATIENT PHARMACY ADMINISTRATION
Mailing Address - City:ROSEVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95661-3027
Mailing Address - Country:US
Mailing Address - Phone:916-784-4526
Mailing Address - Fax:
Practice Address - Street 1:1600 EUREKA RD
Practice Address - Street 2:INPATIENT PHARMACY ADMINISTRATION
Practice Address - City:ROSEVILLE
Practice Address - State:CA
Practice Address - Zip Code:95661-3027
Practice Address - Country:US
Practice Address - Phone:916-784-4526
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-04-20
Last Update Date:2010-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA633111835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist