Healthcare Provider Details

I. General information

NPI: 1376147587
Provider Name (Legal Business Name): MELISSA ANNE MCDOWELL RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/28/2020
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3520 W SIEBENTHALER AVE
DAYTON OH
45406-1534
US

IV. Provider business mailing address

3520 W SIEBENTHALER AVE
DAYTON OH
45406-1534
US

V. Phone/Fax

Practice location:
  • Phone: 937-567-9587
  • Fax: 937-567-9616
Mailing address:
  • Phone: 937-567-9587
  • Fax: 937-567-9616

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number03226537
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: