Provider Demographics
NPI:1649861030
Name:SYMONDS, MELISSA LOUISE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:LOUISE
Last Name:SYMONDS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:MELISSA
Other - Middle Name:LOUISE
Other - Last Name:SYMONDS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHARMD
Mailing Address - Street 1:217 PRESTON RETREAT LN
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27513-3403
Mailing Address - Country:US
Mailing Address - Phone:919-272-7366
Mailing Address - Fax:
Practice Address - Street 1:217 PRESTON RETREAT LN
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27513-3403
Practice Address - Country:US
Practice Address - Phone:919-272-7366
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-29
Last Update Date:2021-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC12358183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist