Provider Demographics
NPI:1255617932
Name:MABINS, MELANIE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:MELANIE
Middle Name:
Last Name:MABINS
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 1:789 S LIMESTONE ST
Mailing Address - Street 2:COLLEGE OF PHARMACY, BPC 275
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40536-0596
Mailing Address - Country:US
Mailing Address - Phone:859-323-2986
Mailing Address - Fax:859-323-0069
Practice Address - Street 1:217 ELM TREE LN
Practice Address - Street 2:UK HEALTHCARE POLK-DALTON CLINIC
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40507-2117
Practice Address - Country:US
Practice Address - Phone:859-218-2802
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-26
Last Update Date:2011-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY0126841835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist