Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MELODIE GRADY, PHARMD
Active Sole ProprietorMELODIE GRADY, PHARMD is a Long-Term Care Pharmacy healthcare provider located in MOSCOW, Idaho. NPI 1861889990 is currently active in the NPPES registry. Verify at CMS.
Long-Term Care Pharmacy · MOSCOW, ID
Registration Details
- NPI Number
- 1861889990
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 15, 2015 (11.315066765804 yrs)
- Last Updated
- Apr 22, 2022
- Licenses
-
E17480 (ID)P7306 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2132 W PULLMAN RDMOSCOW, ID, 838434011Browse ID providers · Browse ZIP 83843
- Phone
- 2089975082
- Fax
- 2082072917
- Primary Specialty
-
Long-Term Care Pharmacy
3336C0003X
- Additional Specialty
- Long-Term Care Pharmacy
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.