Provider Demographics
NPI:1952791279
Name:AGUIRRE, MELISSA (PHARMD)
Entity Type:Individual
Prefix:MRS
First Name:MELISSA
Middle Name:
Last Name:AGUIRRE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:MS
Other - First Name:MELISSA
Other - Middle Name:
Other - Last Name:MORA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:17603 BELLINI HL
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78257-5121
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:119 HUIZAR ST
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78214-2707
Practice Address - Country:US
Practice Address - Phone:210-922-9031
Practice Address - Fax:210-927-5577
Is Sole Proprietor?:No
Enumeration Date:2015-01-26
Last Update Date:2023-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX53417183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist