Provider Demographics
NPI:1801652672
Name:GROFF, MELANIE (PHARMD, RPH)
Entity type:Individual
Prefix:DR
First Name:MELANIE
Middle Name:
Last Name:GROFF
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 1:930 E 15TH ST APT 549
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75074-5880
Mailing Address - Country:US
Mailing Address - Phone:203-215-1814
Mailing Address - Fax:
Practice Address - Street 1:4851 LEGACY DR
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-0816
Practice Address - Country:US
Practice Address - Phone:972-377-0251
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-28
Last Update Date:2024-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX73288183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist