Provider Demographics
NPI:1740313212
Name:LIEBZEIT, MELESSA AUTREY (PHARMD, RPH)
Entity type:Individual
Prefix:DR
First Name:MELESSA
Middle Name:AUTREY
Last Name:LIEBZEIT
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 BANYAN CREEK PL
Mailing Address - Street 2:
Mailing Address - City:APEX
Mailing Address - State:NC
Mailing Address - Zip Code:27539-8500
Mailing Address - Country:US
Mailing Address - Phone:252-458-1130
Mailing Address - Fax:
Practice Address - Street 1:5153 SUNSET LAKE RD
Practice Address - Street 2:
Practice Address - City:APEX
Practice Address - State:NC
Practice Address - Zip Code:27539-8792
Practice Address - Country:US
Practice Address - Phone:919-290-2630
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-14
Last Update Date:2024-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC16781183500000X, 183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist