Provider Demographics
NPI:1881077105
Name:HACKNEY, MELANIE ANGELL (PHARM D)
Entity type:Individual
Prefix:MS
First Name:MELANIE
Middle Name:ANGELL
Last Name:HACKNEY
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 HIGHLAND AVENUE
Mailing Address - Street 2:UNIVERSITY OF WISCONSIN HOSPITAL AND CLINICS
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53792
Mailing Address - Country:US
Mailing Address - Phone:608-263-1290
Mailing Address - Fax:608-263-9424
Practice Address - Street 1:600 HIGHLAND AVENUE, 1530
Practice Address - Street 2:UNIVERSITY OF WISCONSIN HOSPITAL AND CLINICS
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53792
Practice Address - Country:US
Practice Address - Phone:608-263-1290
Practice Address - Fax:608-263-9424
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-06
Last Update Date:2016-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY017867183500000X
WI18404-40183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist