Provider Demographics
NPI:1487325346
Name:FLANARY, MELISSA (CPHT)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:
Last Name:FLANARY
Suffix:
Gender:F
Credentials:CPHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:511 FOCH ST
Mailing Address - Street 2:
Mailing Address - City:ELLWOOD CITY
Mailing Address - State:PA
Mailing Address - Zip Code:16117-1219
Mailing Address - Country:US
Mailing Address - Phone:724-944-4558
Mailing Address - Fax:
Practice Address - Street 1:511 FOCH ST
Practice Address - Street 2:
Practice Address - City:ELLWOOD CITY
Practice Address - State:PA
Practice Address - Zip Code:16117-1219
Practice Address - Country:US
Practice Address - Phone:724-944-4558
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-21
Last Update Date:2021-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA300101041159833183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician