Provider Demographics
NPI:1841064532
Name:MELNIK, SVETLANA STEPANIVNA (PHARMD)
Entity type:Individual
Prefix:
First Name:SVETLANA
Middle Name:STEPANIVNA
Last Name:MELNIK
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:91111 CAPE ARAGO HWY
Mailing Address - Street 2:
Mailing Address - City:COOS BAY
Mailing Address - State:OR
Mailing Address - Zip Code:97420-7637
Mailing Address - Country:US
Mailing Address - Phone:425-773-7239
Mailing Address - Fax:
Practice Address - Street 1:600 RANCH RD
Practice Address - Street 2:
Practice Address - City:REEDSPORT
Practice Address - State:OR
Practice Address - Zip Code:97467-1795
Practice Address - Country:US
Practice Address - Phone:541-319-2178
Practice Address - Fax:541-271-6317
Is Sole Proprietor?:No
Enumeration Date:2023-11-13
Last Update Date:2024-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORRPH-0015041183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist