Grady, Melodie

Grady, Melodie is an sole proprietor health care provider with primary practice located at 2132 W Pullman Rd , Moscow ID 83843-4011. She recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is her primary health care specialty. Grady, Melodie can be contacted via phone (208) 997-5082.

Contact Information

Primary practice address
2132 W Pullman Rd Moscow ID 83843-4011
Phone: (208) 997-5082
Fax: (208) 207-2917
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X E17480 Idaho
Suppliers / Community/Retail Pharmacy 3336C0003X P7306 Idaho

Profile Details

NPI number 1861889990
LBN Legal business name Grady, Melodie
Credentials PHARMD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 15th, 2015
Last updated Apr 22nd, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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