Provider Demographics
NPI:1396569943
Name:HITE, MELINA (PHARMD)
Entity type:Individual
Prefix:
First Name:MELINA
Middle Name:
Last Name:HITE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:MELINA
Other - Middle Name:
Other - Last Name:KELLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 87
Mailing Address - Street 2:
Mailing Address - City:BLOWING ROCK
Mailing Address - State:NC
Mailing Address - Zip Code:28605-0087
Mailing Address - Country:US
Mailing Address - Phone:828-295-3482
Mailing Address - Fax:828-295-4835
Practice Address - Street 1:200 SHOPPES ON THE PARKWAY RD
Practice Address - Street 2:
Practice Address - City:BLOWING ROCK
Practice Address - State:NC
Practice Address - Zip Code:28605-9973
Practice Address - Country:US
Practice Address - Phone:828-295-3482
Practice Address - Fax:828-295-4835
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-11
Last Update Date:2024-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC33280183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist