Provider Demographics
NPI:1770899239
Name:CLOSNER, MELISSA KAY (RPH, PHARM D)
Entity type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:KAY
Last Name:CLOSNER
Suffix:
Gender:F
Credentials:RPH, PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2700 W FREDDY GONZALEZ DR
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78539-7312
Mailing Address - Country:US
Mailing Address - Phone:956-383-4195
Mailing Address - Fax:956-383-4647
Practice Address - Street 1:2700 W FREDDY GONZALEZ DR
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-7312
Practice Address - Country:US
Practice Address - Phone:956-383-4195
Practice Address - Fax:956-383-4647
Is Sole Proprietor?:No
Enumeration Date:2010-08-23
Last Update Date:2010-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX43458183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist