Provider Demographics
NPI:1841602083
Name:JAMES, MELINDA (RPH)
Entity type:Individual
Prefix:
First Name:MELINDA
Middle Name:
Last Name:JAMES
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 1:1946 42ND ST NE
Mailing Address - Street 2:
Mailing Address - City:CEDAR RAPIDS
Mailing Address - State:IA
Mailing Address - Zip Code:52402-3041
Mailing Address - Country:US
Mailing Address - Phone:319-393-3210
Mailing Address - Fax:319-393-2747
Practice Address - Street 1:1946 42ND ST NE STE 115
Practice Address - Street 2:
Practice Address - City:CEDAR RAPIDS
Practice Address - State:IA
Practice Address - Zip Code:52402-3041
Practice Address - Country:US
Practice Address - Phone:319-393-3210
Practice Address - Fax:319-393-2747
Is Sole Proprietor?:No
Enumeration Date:2014-05-22
Last Update Date:2024-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA17082183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist