Healthcare Provider Details

I. General information

NPI: 1891135422
Provider Name (Legal Business Name): MELANIE JEANNE OEHLER PHARM.D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/27/2013
Last Update Date: 06/11/2024
Certification Date: 06/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

635 S STURGEON ST
MONTGOMERY CITY MO
63361-2707
US

IV. Provider business mailing address

216 FLINT BROOK DR
O FALLON MO
63366-4994
US

V. Phone/Fax

Practice location:
  • Phone: 573-564-1111
  • Fax:
Mailing address:
  • Phone: 636-219-9332
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number2012026221
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: