Healthcare Provider Details

I. General information

NPI: 1396569943
Provider Name (Legal Business Name): MELINA HITE PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MELINA KELLER

II. Dates (important events)

Enumeration Date: 11/11/2024
Last Update Date: 11/11/2024
Certification Date: 11/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 SHOPPES ON THE PARKWAY RD
BLOWING ROCK NC
28605-9973
US

IV. Provider business mailing address

PO BOX 87
BLOWING ROCK NC
28605-0087
US

V. Phone/Fax

Practice location:
  • Phone: 828-295-3482
  • Fax: 828-295-4835
Mailing address:
  • Phone: 828-295-3482
  • Fax: 828-295-4835

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number33280
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: