Healthcare Provider Details

I. General information

NPI: 1437702073
Provider Name (Legal Business Name): MELISSA HUFFMAN PHARM D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/23/2019
Last Update Date: 10/01/2021
Certification Date: 10/01/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6134 WHITE HORSE RD
GREENVILLE SC
29611-3837
US

IV. Provider business mailing address

1005 FARMING CREEK DR
SIMPSONVILLE SC
29680-6574
US

V. Phone/Fax

Practice location:
  • Phone: 864-295-3186
  • Fax:
Mailing address:
  • Phone: 803-873-7575
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number42035
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: