Provider Demographics
NPI:1356356752
Name:SPRUILL, MELISSA K (PHARMD)
Entity type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:K
Last Name:SPRUILL
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 1:226 GARDEN LILY LN
Mailing Address - Street 2:
Mailing Address - City:SUMMERVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29485-9230
Mailing Address - Country:US
Mailing Address - Phone:843-709-3791
Mailing Address - Fax:
Practice Address - Street 1:2110 BELLS HWY
Practice Address - Street 2:
Practice Address - City:WALTERBORO
Practice Address - State:SC
Practice Address - Zip Code:29488-6978
Practice Address - Country:US
Practice Address - Phone:843-539-1555
Practice Address - Fax:843-539-1558
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2024-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC12181183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist