Healthcare Provider Details

I. General information

NPI: 1609009703
Provider Name (Legal Business Name): MELLISA S OEI-ROYLE PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/24/2009
Last Update Date: 12/03/2020
Certification Date: 12/03/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

93 LINCOLNVILLE AVE
BELFAST ME
04915-6461
US

IV. Provider business mailing address

93 LINCOLNVILLE AVE
BELFAST ME
04915-6461
US

V. Phone/Fax

Practice location:
  • Phone: 207-338-1918
  • Fax: 207-338-1276
Mailing address:
  • Phone: 207-338-1918
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPH232407
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPR5713
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: