Healthcare Provider Details

I. General information

NPI: 1083608632
Provider Name (Legal Business Name): MELODY ANNE EPPLEY RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 09/08/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

915 MICHIGAN ST
SIDNEY OH
45365-2401
US

IV. Provider business mailing address

128 W EDGEWOOD ST
SIDNEY OH
45365-1627
US

V. Phone/Fax

Practice location:
  • Phone: 937-498-5563
  • Fax:
Mailing address:
  • Phone: 937-497-1982
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number03320144
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: