MEDICARE: DR. MELODY RYAN ESTEP PHARM D

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	17817	NC

General Provider Information

NPI Number	:	1861787491
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MELODY RYAN ESTEP PHARM D

Provider Business Mailing Address
First Line	:	91 MAMIE FERGUSON DR
Second Line	:
City	:	LILLINGTON
State	:	NC
Zip	:	27546-6642
Country	:	US
Telephone Number	:	910-814-2758
Fax Number	:

Provider Business Practice Location Address
First Line	:	1137 N BRAGG BLVD
Second Line	:
City	:	SPRING LAKE
State	:	NC
Zip	:	28390-3116
Country	:	US
Telephone Number	:	910-436-0040
Fax Number	:	910-495-0137

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/11/2011
Last Update Date	:	06/11/2011

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