Provider Demographics
NPI:1912059155
Name:CHRISTOPHER, MELISSA LYNN DELATTRE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:LYNN DELATTRE
Last Name:CHRISTOPHER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:MELISSA
Other - Middle Name:LYNN
Other - Last Name:DELATTRE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:13009 ENTREKEN AVE
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92129-2208
Mailing Address - Country:US
Mailing Address - Phone:858-229-3514
Mailing Address - Fax:
Practice Address - Street 1:8989 RIO SAN DIEGO DR
Practice Address - Street 2:SUITE 130, ROOM 1304
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92108
Practice Address - Country:US
Practice Address - Phone:858-337-8473
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-17
Last Update Date:2015-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA53186183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist