Healthcare Provider Details

I. General information

NPI: 1871365841
Provider Name (Legal Business Name): MELANIE KIGHT PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/24/2023
Last Update Date: 10/24/2023
Certification Date: 10/24/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 SALEM CHURCH RD
STEPHENS CITY VA
22655-5546
US

IV. Provider business mailing address

1200 SALEM CHURCH RD
STEPHENS CITY VA
22655-5546
US

V. Phone/Fax

Practice location:
  • Phone: 540-664-4274
  • Fax:
Mailing address:
  • Phone: 540-664-4274
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number0202221604
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: