Provider Demographics
NPI:1043442783
Name:MELSON, BRADLEY WILLIAM (PHARMD)
Entity type:Individual
Prefix:DR
First Name:BRADLEY
Middle Name:WILLIAM
Last Name:MELSON
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32 STONE HOUSE RD
Mailing Address - Street 2:
Mailing Address - City:ARDEN
Mailing Address - State:NC
Mailing Address - Zip Code:28704-6600
Mailing Address - Country:US
Mailing Address - Phone:859-576-4660
Mailing Address - Fax:828-298-8190
Practice Address - Street 1:948 TUNNEL RD
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28805-2025
Practice Address - Country:US
Practice Address - Phone:828-298-3636
Practice Address - Fax:828-298-8190
Is Sole Proprietor?:No
Enumeration Date:2009-08-13
Last Update Date:2014-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC20549183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist