Doctor Name: | MELISSA KAY DVORAK |
NPI Number: | 1306187224 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CPHT |
License Number: | 580107010269312 |
Business Practice Address: | 539 6th St Pawnee, OK - 740582542 |
Business Phone Number: | 9187623666 |
Business Fax Number: | 9187622288 |
Mailing Address: | 539 6th St, PAWNEE |
State: | OK |
Postal Code: | 740582542 |
Phone Number: | 9187623666 |
Fax Number: | 9187622288 |
NPI Enumeration Date: | 03/04/2013 |
NPI Last Update Date: | 03/04/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 183700000X |
License Number: | 580107010269312 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Pharmacy Service Providers |
Taxonomy Classification: | Pharmacy Technician |
Taxonomy Specialization: | |
Taxonomy Definition: | A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. |