Provider Demographics
NPI:1740316280
Name:HYLAND, MELISSA JILL (RPH)
Entity type:Individual
Prefix:MS
First Name:MELISSA
Middle Name:JILL
Last Name:HYLAND
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1560 LURTING AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10461-1510
Mailing Address - Country:US
Mailing Address - Phone:203-770-1793
Mailing Address - Fax:
Practice Address - Street 1:1560 LURTING AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461-1510
Practice Address - Country:US
Practice Address - Phone:203-770-1793
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-26
Last Update Date:2010-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT8123183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist