Healthcare Provider Details

I. General information

NPI: 1730907825
Provider Name (Legal Business Name): MELISSA PAGE RINKS PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/28/2024
Last Update Date: 09/28/2024
Certification Date: 09/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

880 MADISON AVE
MEMPHIS TN
38103-3409
US

IV. Provider business mailing address

165 ASTON BROOK CV
EADS TN
38028-6222
US

V. Phone/Fax

Practice location:
  • Phone: 901-246-0060
  • Fax:
Mailing address:
  • Phone: 901-246-0060
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License Number0000047467
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: