Healthcare Provider Details

I. General information

NPI: 1720196462
Provider Name (Legal Business Name): MELISSA ANN CHAPPELL RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/25/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8820 S MERIDIAN ST SUITE 105
INDIANAPOLIS IN
46217-6056
US

IV. Provider business mailing address

7749 SANTOLINA DR
INDIANAPOLIS IN
46237-3717
US

V. Phone/Fax

Practice location:
  • Phone: 317-865-6833
  • Fax:
Mailing address:
  • Phone: 317-889-3107
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number26017310A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: