Healthcare Provider Details

I. General information

NPI: 1003891722
Provider Name (Legal Business Name): MELODY ANN SAVLEY RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 12/14/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2650 W KEARNEY ST
SPRINGFIELD MO
65803-2037
US

IV. Provider business mailing address

217 CARLTON ST
NIXA MO
65714-9203
US

V. Phone/Fax

Practice location:
  • Phone: 417-865-1547
  • Fax: 417-862-2571
Mailing address:
  • Phone: 417-725-5252
  • Fax: 417-862-2571

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number040573
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: