Basic Information
Provider Information
NPI: 1801858352
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: DURKEE
FirstName: MELISSA
MiddleName: ANN
NamePrefix: DR.
NameSuffix:  
Credential: PHARMD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 115 CARSWELL LN
Address2:  
City: CARY
State: NC
PostalCode: 275192825
CountryCode: US
TelephoneNumber: 9192860411
FaxNumber: 9192866987
Practice Location
Address1: 508 FULTON ST
Address2:  
City: DURHAM
State: NC
PostalCode: 277053875
CountryCode: US
TelephoneNumber: 9192860411
FaxNumber: 9192866987
Other Information
ProviderEnumerationDate: 04/03/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: X
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
1835P1200X14288NCY Pharmacy Service ProvidersPharmacistPharmacotherapy
1835P1200X044592NYN Pharmacy Service ProvidersPharmacistPharmacotherapy

No ID Information.


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